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NURS 24 EXAM 3 CHAPTER 29 With Questions And Verified Answers
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NURS 24 EXAM 3 CHAPTER 29 With QuestionsAnd Verified Answers
The nurse is caring for a client suspected of having right-sided heart failure. What does
the nurse know about clients who have suspected right-sided heart failure? - Answer
Gradual, unexplained weight gain
Clients with right-sided heart failure may report a history of gradual, unexplained weight
gain due to fluid retention. Left-sided heart failure results in paroxysmal nocturnal
dyspnea and may lead the client to sleep with many pillows or even sleep in a chair or
recliner. Right-sided heart failure does not cause diaphoresis or polyuria.
A client is referred to the cardiologist for diagnostics after several months of symptoms
related to the heart. Through which method will the client's ejection fraction be
measured? Answer Echocardiogram
The most common initial symptom of left-sided heart failure is ________. Answer dyspnea
on exertion
A client has heart failure. The client's findings include the following: temperature 99.1°
F, pulse 100 beats/minute, respirations 42 breaths/minute, BP 110/50 mm Hg; crackles
in both lung bases; nausea; and pulse oximeter reading of 89%. Which finding should be
addressed immediately? - Answer Lung congestion
The client is admitted to the hospital with a diagnosis of congestive heart failure after
calling the emergency department complaining of shortness of breath. What position
should the nurse place the client to decrease preload? Answer Head of the bed elevated
45 degrees and lower arms supported by pillows
The nurse performs an assessment on a client admitted with a diagnosis of right-sided
heart failure. What will be an important clinical finding associated with right-sided heart
failure? Answer Pitting edema
The major indication of right-sided heart failure is pitting edema, which indicates around
,10 lbs. of fluid retention. The reason for such a situation includes sodium and water
retention due to the compensatory neurohormonal response from the reduced cardiac
output. Oliguria suggests kidney failure or dehydration. S4 heart sound originates from
the thickened left ventricle in conditions such as aortic stenosis or hypertension. The
reduced levels of oxygen saturation include hypoxemia.
Q The nurse is caring for a client in cardiogenic shock who has an intraaortic balloon
pump. What is the therapeutic effect of IABP therapy? Select decreased left ventricular
workload
The nurse is educating a client receiving medications that have been prescribed for
severe volume overload due to heart failure. What diuretic medication is the most
common first-line treatment for clients with heart failure? Select furosemide
A client asks the nurse whether systolic heart failure will impact any other body
function. Which body system response is associated with systolic heart failure (HF)?
ANS decreased renal perfusion
A low cardiac output and resultant low perfusion of the kidneys along with
vasoconstriction stimulate the kidney to release renin. Systolic HF has decreased blood
volume ejected from the ventricle. The sympathetic stimulation causes vasoconstriction
of the skin, gastrointestinal tract and kidneys. Dehydration does not correlate with
systolic heart failure.
A nurse is preparing to administer digoxin. What client parameter would require the
nurse to withhold the digoxin and notify the health care prescriber? - Answer heart rate
of 55 beats per minute
During a focused physical examination the nurse is auscultating the heart sounds of a
client who has heart failure. The nurse detects an extra heart sound immediately after
the second heart sound (S2). How should the nurse record this sound? - Answer a third
heart sound (S3).
Data Collection The nurse is collecting data on an older adult client. What finding may
lead the nurse to suspect the early symptom of heart failure? - Answer Dyspnea on
exertion
, What nursing intervention should the nurse carry out when a client with valvular
disorder of the heart has a heart rate less than 60 beats/min before the administration of
beta-blockers? - Answer Withhold the drug and notify the primary health care provider.
A client is admitted to the ED with an exacerbation of left-sided heart failure and reports,
"I am having trouble catching my breath." What is the priority nursing intervention?
-Answer Check oxygen saturation
What is an intervention the nurse will include while caring for a client who has been
admitted with ADHF and who is receiving milrinone? -Answer Monitor blood pressure
frequently
A client has been experiencing increasing shortness of breath and fatigue. The health
care provider has ordered a diagnostic test in order to determine what type of heart
failure the client is having. What diagnostic test does the nurse anticipate being
ordered? - Answer An echocardiogram
The nurse is assessing a client who has crackling breath sounds or pulmonary
congestion. What is the cause of the congestion? Answer Inadequate cardiac output
The nurse is caring for a client who has advanced heart failure. What is the treatment
that will be considered when all other therapies have failed? Answer Heart transplant
The nurse is admitting a client with pink frothy sputum. What does the nurse suspect is
the primary underlying disorder of pulmonary edema? Choose decreased left
ventricular pumping.
Pulmonary edema is an acute event that results from heart failure. Myocardial scarring,
the result of ischemia, limits the distensibility of the ventricle and makes it vulnerable to
demands for an increased workload. As demand on the heart increases, there is
resistance to left ventricular filling and blood backs up into the pulmonary circulation.
Pulmonary edema develops quickly.
A client is diagnosed with chronic heart failure and is taking digoxin 0.25 mg po daily
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