Question 1

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

Accepted Answer

A)  Patient who is taking carvedilol (Coreg) and has a heart rate of 58 
B)  Patient who is taking digoxin and has a potassium level of 3.1 mEq/L 
C)  Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache 
D)  Patient who is taking captopril (Capoten) and has a frequent nonproductive cough 
A)  Patient who is taking carvedilol (Coreg) and has a heart rate of 58 
B)  Patient who is taking digoxin and has a potassium level of 3.1 mEq/L 
C)  Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache 
D)  Patient who is taking captopril (Capoten) and has a frequent nonproductive cough

Question 2

A patient who has chronic heart failure tells the nurse,"I was fine when I went to bed,but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as

Accepted Answer

A)  orthopnea. 
B)  pulsus alternans. 
C)  paroxysmal nocturnal dyspnea. 
D)  acute bilateral pleural effusion. 
A)  orthopnea. 
B)  pulsus alternans. 
C)  paroxysmal nocturnal dyspnea. 
D)  acute bilateral pleural effusion.

Question 3

Following an acute myocardial infarction,a previously healthy 63-year-old develops clinical manifestations of heart failure.The nurse anticipates discharge teaching will include information about

Accepted Answer

A)  digitalis preparations. 
B)  b-adrenergic blockers. 
C)  calcium channel blockers. 
D)  angiotensin-converting enzyme (AC
E)  inhibitors. 
A)  digitalis preparations. 
B)  b-adrenergic blockers. 
C)  calcium channel blockers. 
D)  angiotensin-converting enzyme (AC
E)  inhibitors.

Question 4

Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF)requires the most immediate action by the nurse?

Accepted Answer

A)  Oxygen saturation of 88% 
B)  Weight gain of 1 kg (2.2 lb) 
C)  Heart rate of 106 beats/minute 
D)  Urine output of 50 mL over 2 hours 
A)  Oxygen saturation of 88% 
B)  Weight gain of 1 kg (2.2 lb) 
C)  Heart rate of 106 beats/minute 
D)  Urine output of 50 mL over 2 hours

Question 5

A patient with a history of chronic heart failure is admitted to the emergency department (ED)with severe dyspnea and a dry,hacking cough.Which action should the nurse do first?

Accepted Answer

A)  Auscultate the abdomen. 
B)  Check the capillary refill. 
C)  Auscultate the breath sounds. 
D)  Assess the level of orientation. 
A)  Auscultate the abdomen. 
B)  Check the capillary refill. 
C)  Auscultate the breath sounds. 
D)  Assess the level of orientation.

Question 6

A patient with heart failure has a new order for captopril (Capoten)12.5 mg PO.After administering the first dose and teaching the patient about the drug,which statement by the patient indicates that teaching has been effective?

Accepted Answer

A)  "I will be sure to take the medication with food." 
B)  "I will need to eat more potassium-rich foods in my diet." 
C)  "I will call for help when I need to get up to use the bathroom." 
D)  "I will expect to feel more short of breath for the next few days." 
A)  "I will be sure to take the medication with food." 
B)  "I will need to eat more potassium-rich foods in my diet." 
C)  "I will call for help when I need to get up to use the bathroom." 
D)  "I will expect to feel more short of breath for the next few days."

Exam 35: Nursing Management: Heart Failure

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

A patient who has chronic heart failure tells the nurse,"I was fine when I went to bed,but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as

Following an acute myocardial infarction,a previously healthy 63-year-old develops clinical manifestations of heart failure.The nurse anticipates discharge teaching will include information about

Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF)requires the most immediate action by the nurse?

A patient with a history of chronic heart failure is admitted to the emergency department (ED)with severe dyspnea and a dry,hacking cough.Which action should the nurse do first?

A patient with heart failure has a new order for captopril (Capoten)12.5 mg PO.After administering the first dose and teaching the patient about the drug,which statement by the patient indicates that teaching has been effective?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Abuse

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Hematologic System

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,Pancreas,and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimer's Disease,Dementia,and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care

Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency, Terrorism, and Disaster Nursing

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