Exam 34: Heart Failure

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

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

A 53-yr-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 accurate?

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

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)?

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

Which topic will the nurse plan to include in discharge teaching for a patient with heart failure with reduced ejection fraction (HFrEF)?

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

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

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

A patient who is receiving dobutamine 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)?

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

During a visit to a 78-yr-old patient 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,a correct nursing diagnosis for the patient is

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

While admitting an 82-yr-old patient 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 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-lb weight gain in the past 3 days. The nurse's priority action will be to

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 assessing a 68-yr-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