Question 1

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

Accepted Answer

A)  Need to begin an aerobic exercise program several times weekly 
B)  Use of salt substitutes to replace table salt when cooking and at the table 
C)  Benefits and side effects of angiotensin-converting enzyme (AC
E)  inhibitors 
D)  Importance of making an annual appointment with the primary care provider 
A)  Need to begin an aerobic exercise program several times weekly 
B)  Use of salt substitutes to replace table salt when cooking and at the table 
C)  Benefits and side effects of angiotensin-converting enzyme (AC
E)  inhibitors 
D)  Importance of making an annual appointment with the primary care provider

Question 2

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

Accepted Answer

A)  she will take furosemide (Lasix) every day at bedtime. 
B)  the nitroglycerin patch is applied when any chest pain develops. 
C)  she will call the clinic if her weight goes from 124 to 128 pounds in a week. 
D)  an additional pillow can help her sleep if she is feeling short of breath at night. 
A)  she will take furosemide (Lasix) every day at bedtime. 
B)  the nitroglycerin patch is applied when any chest pain develops. 
C)  she will call the clinic if her weight goes from 124 to 128 pounds in a week. 
D)  an additional pillow can help her sleep if she is feeling short of breath at night.

Question 3

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)?

Accepted Answer

A)  Assess the IV insertion site for signs of extravasation. 
B)  Teach the patient the reasons for remaining on bed rest. 
C)  Monitor the patient's blood pressure and heart rate every hour. 
D)  Titrate the rate to keep the systolic blood pressure >90 mm Hg. 
A)  Assess the IV insertion site for signs of extravasation. 
B)  Teach the patient the reasons for remaining on bed rest. 
C)  Monitor the patient's blood pressure and heart rate every hour. 
D)  Titrate the rate to keep the systolic blood pressure >90 mm Hg.

Question 4

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 (select all that apply)?

Accepted Answer

A)  How to take and record daily weight 
B)  Importance of limiting aerobic exercise 
C)  Date and time of follow-up appointment 
D)  Symptoms indicating worsening heart failure 
E)  Actions and side effects of prescribed medications 
A)  How to take and record daily weight 
B)  Importance of limiting aerobic exercise 
C)  Date and time of follow-up appointment 
D)  Symptoms indicating worsening heart failure 
E)  Actions and side effects of prescribed medications

Question 5

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?

Accepted Answer

A)  Presence of 1 to 2+ edema in the feet and ankles 
B)  Palpable liver edge 2 cm below the ribs on the right side 
C)  Serum potassium level 3.0 mEq/L after 1 week of therapy 
D)  Weight increase from 120 pounds to 122 pounds over 3 days 
A)  Presence of 1 to 2+ edema in the feet and ankles 
B)  Palpable liver edge 2 cm below the ribs on the right side 
C)  Serum potassium level 3.0 mEq/L after 1 week of therapy 
D)  Weight increase from 120 pounds to 122 pounds over 3 days

Question 6

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

Accepted Answer

A)  decreased fluid volume. 
B)  jugular vein atherosclerosis. 
C)  increased right atrial pressure. 
D)  incompetent jugular vein valves. 
A)  decreased fluid volume. 
B)  jugular vein atherosclerosis. 
C)  increased right atrial pressure. 
D)  incompetent jugular vein valves.

Exam 31: Nursing Management: Heart Failure

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

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

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 (select all that apply)?

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?

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

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