Exam 26: Nursing Care of Patients With Heart Failure

While collecting data,the nurse suspects that a patient is demonstrating signs of heart failure.What findings did the nurse use to come to this conclusion? (Select all that apply.)

The nurse is reviewing compensatory mechanisms with a patient in heart failure.What should the nurse include when providing this teraching? (Select all that apply.)

The nurse is reinforcing discharge teaching provided to a patient taking antirejection medication following a heart transplant.Which beverage should the nurse instruct the patient to avoid?

A patient with heart failure is prescribed an angiotensin-converting enzyme inhibitor (ACEI).What should the nurse teach the patient about this medication? (Select all that apply.)

A patient who is to receive bumetanide (Bumex)in 1 hour has less ankle edema and neck vein distention than earlier.What action should the nurse take?

A patient with increased dyspnea has bilateral crackles on auscultation.Which action should the nurse take?

A patient is taking bumetanide (Bumex).What is the most important for the nurse to monitor in this patient?

As part of discharge teaching,the nurse is instructing a patient on the use of digoxin.What should be included in the teaching? (Select all that apply.)

The nurse is collecting data from a patient who is in left-sided heart failure.Which finding should the nurse identify as being consistent with this diagnosis?

A patient is receiving digoxin (Lanoxin)daily.Which symptom should the nurse report for follow-up related to the digoxin?

A patient reports shortness of breath after lying down,which caused a feeling of suffocation.How should the nurse document this finding?

A patient with heart failure has clavicle muscle retractions,nostril flaring,and labored breathing.Vital signs are: blood pressure 162/84 mm Hg,pulse 120 beats/min,and respirations 32/min.Which patient data requires immediate action?

A patient is receiving potassium (K-Lor)10 mEq/L,bumetanide (Bumex)20 mg,and digoxin (Lanoxin)0.125 mg orally.The patient's morning potassium level is 4.2 mEq/L and the dose of K-Lor 10 mEq/L is scheduled to be given now.What action should the nurse take?

A patient requiring oxygen therapy is being discharged home.At which flow rate should the nurse instruct the patient to keep the oxygen level?

A patient with heart failure is prescribed bedrest however becomes angry and walks to the bathroom independently to use the commode.How should the nurse handle this situation?

The nurse provides morphine as prescribed to a patient experiencing anxiety,dyspnea,diaphoresis; retractions; pink,frothy sputum; blood pressure 174/86 mm Hg; pulse 116 beats/min; and respirations 32/min.Which finding should the nurse consider as desirable after receiving the morphine?

A patient diagnosed with complete right-sided heart failure.For which additional health problem should the nurse collect data on this patient?

The health care provider (HCP)wants to be notified if a patient recovering from a heart transplant has a urine output less than 0.5 mL/kg/hour.The patient weighs 176 lbs.What is the amount of urine the patient has to produce before the HCP is notified?

The nurse is reinforcing discharge teaching provided to a patient with a history of right-sided heart failure.What should the nurse include?

The nurse is caring for a patient who is prescribed furosemide (Lasix).Which laboratory result should the nurse review first?