Exam 26: Nursing Care of Patients With Heart Failure

The nurse is assisting with the care of a patient who is experiencing pulmonary edema.Which finding should the nurse expect to observe?

A patient is diagnosed with a heart problem that affects preload.How should the nurse describe preload to the patient?

A patient has been given bumetanide (Bumex)3 mg intravenously.Which action should the nurse take after this medication is administered?

During a home visit,the nurse learns that a patient with chronic heart failure is planning to quit cardiac rehabilitation because of the fear of dying while on the treadmill.Which response by the nurse is best?

The nurse is contributing to a plan of care for a patient who has heart failure.What should be the major goal of nursing management for this patient?

A patient with lower extremity edema from heart failure is fatigued from constant sleep interruption to void.What should the nurse instruct the patient to promote uninterrupted rest?

The nurse is reinforcing teaching provided to a patient with chronic heart failure who is scheduled for pacemaker placement.Which patient statement indicates that additional instruction is required?

During a visit to the home of a patient with heart failure and diabetes the nurse learns that the patient "feels strange." Data collected includes blood pressure 172/94 mm Hg,pulse 112 beats/min,respirations 22/min; heart rhythm regular; coarse crackles in lower lung bases.What action should the nurse take?

A patient with a potassium level of 3 mEq/L is to receive furosemide (Lasix)20 mg by mouth.What action should the nurse take?

A patient recovering from heart transplant surgery is shivering,has weak peripheral pulses,mottled skin on the feet,and excessive chest tube drainage.Which nursing diagnosis should the nurse recommend?

The nurse is teaching a patient with heart failure how to avoid activity that results in Valsalva's maneuver.Which observation indicates that teaching has been effective?

A patient is receiving potassium (K-Lor)20 mEq/L,furosemide (Lasix)20 mg,and digoxin (Lanoxin)0.125 mg orally.The patient's potassium level is 5.8 mEq/L and the dose of K-Lor 10 mEq/L is scheduled to be given now.What action should the nurse take?

The nurse is monitoring the chest tube drainage for a patient recovering from cardiac surgery.What volume should the nurse report to the charge nurse?

A patient is receiving potassium (K-Lor)20 mEq/L,furosemide (Lasix)20 mg,and digoxin (Lanoxin)0.125 mg orally.The patient's potassium level is 4 mEq/L and urine output for the last 8 hours was 350 mL.What should the nurse do about the prescribed medications?

The nurse is contributing to a plan of care for a patient who has had a 5 pound weight gain in 2 days,pitting edema of the ankles,lung crackles,and distended neck veins.Which nursing diagnosis would be given priority in the plan of care?

The nurse reinforced teaching for a patient awaiting a heart transplant.Which statements indicate that the patient understands the usual criteria used for a potential heart donor? (Select all that apply.)

The nurse is collecting data from a patient who is receiving digoxin (Lanoxin),0.125 mg daily.Which finding should indicate to the nurse that the patient is experiencing side effects of the medication?

The nurse is reinforcing teaching provided to a patient prescribed captopril (Capoten).What should the nurse specifically include in instructions? (Select all that apply.)