Exam 35: Nursing Management: Heart Failure

The nurse is caring for a patient who is receiving IV furosemide (Lasix)and morphine for the treatment of acute decompensated heart failure (ADHF)with severe orthopnea.Which clinical finding is the best indicator that the treatment has been effective?

While admitting an 82-year-old with acute decompensated heart failure to the hospital,the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the patient's discharge the nurse will facilitate a

A 53-year-old patient with Stage D heart failure and type 2 diabetes asks the nurse whether heart transplant is a possible therapy.Which response by the nurse is most appropriate?

Which topic will the nurse plan to include in discharge teaching for a patient with systolic heart failure and an ejection fraction of 33%?

A patient has recently started on digoxin (Lanoxin)in addition to furosemide (Lasix)and captopril (Capoten)for the management of heart failure.Which assessment finding by the home health nurse is a priority to communicate to the health care provider?

After receiving change-of-shift report on a heart failure unit,which patient should the nurse assess first?

Which action should the nurse include in the plan of care when caring for a patient admitted with acute decompensated heart failure (ADHF)who is receiving nesiritide (Natrecor)?

A patient with chronic heart failure who is taking a diuretic and an angiotensin-converting enzyme (ACE)inhibitor and who is on a low-sodium diet tells the home health nurse about a 5-pound weight gain in the last 3 days.The nurse's priority action will be to

An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL).Which assessment finding is most important for the nurse to report to the health care provider?

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications.Which medication should the nurse question before giving?

While assessing a 68-year-old with ascites,the nurse also notes jugular venous distention (JVD)with the head of the patient's bed elevated 45 degrees.The nurse knows this finding indicates

The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin)and hydrochlorothiazide (HydroDIURIL).Appropriate instructions for the patient include

Based on the Joint Commission Core Measures for patients with heart failure,which topics should the nurse include in the discharge teaching plan for a patient who has been hospitalized with chronic heart failure ?

A patient who is receiving dobutamine (Dobutrex)for the treatment of acute decompensated heart failure (ADHF)has the following nursing interventions included in the plan of care.Which action will be most appropriate for the registered nurse (RN)to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure?

A patient in the intensive care unit with acute decompensated heart failure (ADHF)complains of severe dyspnea and is anxious,tachypneic,and tachycardic.All of the following medications have been ordered for the patient.The nurse's priority action will be to

When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet,the nurse explains that foods to be restricted include

IV sodium nitroprusside (Nipride)is ordered for a patient with acute pulmonary edema.During the first hours of administration,the nurse will need to titrate the nitroprusside rate if the patient develops

The nurse working on the heart failure unit knows that teaching an older female patient with newly diagnosed heart failure is effective when the patient states that

During a visit to a 78-year-old with chronic heart failure,the home care nurse finds that the patient has ankle edema,a 2-kg weight gain over the past 2 days,and complains of "feeling too tired to get out of bed." Based on these data,the best nursing diagnosis for the patient is