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NURS 6201 Exam 2 Content Heart Failure and Dysrhythmias Exam Question And Answers 2024
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NURS 6201 Exam 2 Content Heart Failure and Dysrhythmias Exam Question And Answers 2024
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NURS 6201 Exam 2 Content HeartFailure and Dysrhythmias Exam
Question And Answers 2024
A patient presents with Jugular Venous Distention (JVD),
peripheral edema, and fatigue. Based on this initial
assessment data, which of the following manifestations of
heart failure do you expect them to have? (select only
one)
A. Frothy, serosanguineous sputum
B. Bilateral crackles
C. Ascites
D. Confusion - correct answers✅C. (Ascites) is correct.
Based on the data given, this patient is suffering from
right-sided heart failure. Options A, B, and D all describe
manifestations of left-Sided heart failure, which results in
pulmonary edema and, ultimately, hypoxia.
Ascites is the result of fluid backing up into the abdomen
because the right side of the heart is not pumping
effectively.
There are many different drugs for treating chronic heart
failure, but a common adverse effect of almost all these
drugs is.... - correct answers✅Hypotension (especially
orthostatic hypotension).
A patient placed on Losartan for treatment of heart failure
requires education regarding adverse effects of this
medication. Which of the following adverse effects would
,NURS 6201 Exam 2 Content Heart
Failure and Dysrhythmias Exam
Question And Answers 2024
the nurse include as part of the education? (Select All
That Apply)
A. Angioedema
B. Hyperkalemia
C. Intractable cough
D. Hypotension - correct answers✅A, B, and D are
correct. Losartan is an Angiotensin Receptor Blocker. It
blocks angiotensin II, resulting in vasodilation and
increased sodium and water excretion (by blocking
aldosterone).
Although ARBs carry a reduced risk of angioedema
relative to ACE-Is, it is still a potential problem.
ARBs do not cause the intractable cough characteristic of
ACE-Is.
What labs are important to monitor for a patient placed
on ACEs, ARBs, or Aldosterone antagonists? (Note:
Aldosterone antagonists are also known as potassium-
sparing diuretics) - correct answers✅Renal function and
serum potassium levels are critical to monitor in patients
on any of these drugs. Remember that the kidneys are
responsible for 90% of potassium excretion and these are
potassium-sparing drugs. Any drop any renal function
could have disastrous effects.
, NURS 6201 Exam 2 Content Heart
Failure and Dysrhythmias Exam
Question And Answers 2024
A nurse is teaching a patient on potential adverse effects
of beta-blockers for the treatment of heart failure. Which
of the following points should the nurse include? (Select
all that apply)
A. Worsening of HF symptoms
B. Fatigue
C. Bradycardia
D. Hypotension - correct answers✅A-D are correct.
These are all potential adverse effects of beta-blocker
therapy. Recall that beta-blockers block SNS stimulation
of the heart. This reduces HR and contractility, which may
actually worsen symptoms of HF if the patient is fluid
overloaded.
For D, just remember that practically all chronic HF drugs
cause hypotension.
A patient with heart failure has a persistent fluid overload
that's resistant to diuretic therapy. What is a non-
pharmacological intervention that can reduce their fluid
overload? - correct answers✅Ultrafiltration
(aquapheresis) is an option for patients with FVE that is
resistant to diuretics. It can rapidly remove excess fluid
and sodium while maintaining hemodynamic stability.
If the patient's kidneys are wrecked, hemodialysis is
another option.
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