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Hypertension & Heart failure - H&H IV Questions With Complete Solutions
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Hypertension & Heart failure - H&H IV Questions With Complete Solutions
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Hypertension & Heart failure - H&H IV Questions WithComplete Solutions
A client admitted to the emergency department (ED) is
diagnosed with acute decompensated heart failure manifesting
as pulmonary edema. Which clinical manifestation(s) should the
nurse observe for? Select all that apply.
a) Dyspnea
b) Rapid heart rate
c) Dry, warm skin
d) Frothy, blood-tinged sputum
e) Low respiratory rate Correct Answer A,B,D
A client has been diagnosed with left-sided heart failure. Which
of the following would the nurse assess for?
a) Lung crackles
b) Jugular Vein Distension
c) Hepatomegaly
d) Pitting edema Correct Answer A
A client is admitted to the emergency room (ER) with severe
dyspnea and a hacking cough. The client has a relevant past
history of heart failure. Which of the following actions should
the nurse take first?
a) Check the capillary refill
b) Palpate the abdomen
c) Auscultate the lung sounds
d) Assess for orientation Correct Answer C
,A client is admitted to the hospital with chronic heart failure
(HF). The nurse should assess for which complications? Select
all that apply.
a) Pleural effusion
b) Dysrhythmias
c) Hepatomegaly
d) Renal failure
e) Thyrotoxicosis Correct Answer A,B,C,D
A client is admitted to the hospital with heart failure (HF).
Following an assessment, a primary health care provider
classifies the client as NYHA 2. The nurse understands what is
the most likely reason for this classification?
a) The client has no dyspnea when doing ordinary physical
activity
b) The client gets tired easily when performing daily routine
activities
c) The client is unable to perform daily chores like dressing
oneself
d) The client has dyspnea even at rest, and discomfort increases
with activities Correct Answer B
A client is admitted with reports of awakening during the night
with sudden shortness of breath. As what does the nurse
document this?
a) Orthopnea
b) Atrial fibrillation
c) Intermittent claudication
d) Paroxysmal nocturnal dyspnea Correct Answer D
, A client is being discharged from the hospital. A primary health
care provider prescribes propranolol (Inderal) for hypertension.
Which instruction should the nurse include in the discharge
teaching plan?
a) Do not stop taking abruptly
b) Take initial doses at bedtime
c) Monitor for peripheral edema
d) Take with orange juice Correct Answer A
A client is diagnosed with heart failure (HF). The nurse
identifies which factors to potentially influence cardiac output?
Select all that apply.
a) Preload
b) Heart rate
c) Respiratory rate
d) Portal pressure
e) Myocardial contractility Correct Answer A,B,E
A client is diagnosed with primary hypertension and asks the
nurse what caused this condition. Which is the best response by
the nurse?
a) "There is no one identifiable reason"
b) "Kidney disease is the most common reason"
c) "It is caused by a decrease in plasma renin levels"
d) "There is too much plaque in the blood vessels" Correct
Answer A
A client is diagnosed with stage 1 hypertension. The nurse
understands that this correlates with which blood pressure (BP)
measurement?
a) 122/76 mm Hg
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