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NURS 6201 Exam 2 Content: Heart Failure and Dysrhythmias Question & Answers 2024
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NURS 6201 Exam 2 Content: Heart Failureand Dysrhythmias Question & 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 the nurse include as part of the
education? (Select All That Apply)
A. Angioedema
B. Hyperkalemia
,NURS 6201 Exam 2 Content: Heart Failure
and Dysrhythmias Question & Answers 2024
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.
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-
, NURS 6201 Exam 2 Content: Heart Failure
and Dysrhythmias Question & Answers 2024
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.
A recently graduated nurse notices that their patient admitted for
Acute Decompensated Heart Failure is prescribed Milrinone, a positive
inotropic drug. Concerned, she asks her nurse preceptor if this was a
mistake. How should the preceptor respond?
A. "Good catch! The provider probably meant to prescribe a beta-
blocker"
B. "Milrinone is used for chronic heart failure patients to increase blood
pressure"
C. "Milrinone is used for short-term treatment of cardiogenic shock in
patients with ADHF. It can temporarily boost cardiac output, but comes
with serious adverse effects".
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