Exam 31: Nursing Management: Heart Failure

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 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?

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

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?

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

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 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

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

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

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?

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

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

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

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

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)?

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?

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