Deck 20: Drugs for Heart Failure

Question 1

A client has been diagnosed with right-sided heart failure.What does the nurse expect to observe when assessing this client?
1)Decreased body temperature
2)Increased body temperature
3)Fatigue,shortness of breath,and cough
4)Peripheral edema

Answer 1

4

Question 2

The client is receiving milrinone (Primacor).Which side effect is potentially life-threatening for this drug?
1)Ventricular dysrhythmia
2)Hypokalemia
3)Hypernatremia
4)Angioedema

Answer 2

1

Question 3

The client has been prescribed a vasodilator for the treatment of heart failure.The nurse knows there are two vasodilators used to treat heart failure.Which vasodilators does the nurse anticipate? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Hydralazine (Apresoline)
2)Isosorbide dinitrate (Isordil)
3)Lisinopril (Prinivil)
4)Carvedilol (Coreg)
5)Furosemide (Lasix)

Answer 3

1,2

Question 4

A client who has a history of angina and hypertension now complains of fatigue,shortness of breath,and cough.Based on this assessment finding,what does the nurse suspect that the client might be developing?
1)Peripheral edema
2)Left-sided heart failure
3)Hypokalemia
4)Right-sided heart failure

Question 5

A client has been prescribed lisinopril (Prinivil),and asks the nurse to explain the common side effects of this drug.What is the best response by the nurse?
1)"The most common adverse effects are headache,angioedema,and rash."
2)"There are no common adverse effects of this medication."
3)"The most common adverse effects are cough,dizziness,and orthostatic hypotension."
4)"The most common adverse effects of this medication are hypertension,hypokalemia,and difficulty breathing."

Question 6

The nurse is instructing a group of students about the ability to increase the strength of a cardiac contraction.Which medical term is appropriate for the nurse to use when referring to this topic?
1)Positive inotropic effect
2)Negative chronotropic effect
3)Preload
4)Afterload

Question 7

The nurse is caring for a client receiving ACE inhibitor therapy for heart failure.Which statements are true regarding ACE inhibitor treatment of heart failure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)ACE inhibitors lower blood pressure.
2)ACE inhibitors reduce blood volume.
3)ACE inhibitors enlarge the heart's pumping action.
4)ACE inhibitors increase cardiac output.
5)ACE inhibitors decrease the workload of the heart.

Question 8

The nurse is teaching a client recently prescribed digoxin (Lanoxin).Which teaching point indicates the correct primary action of this medication?
1)It decreases blood pressure.
2)It increases the force of contraction.
3)It decreases respiratory rate.
4)It increases diuresis.

Question 9

A client has been prescribed carvedilol (Coreg)to treat heart failure.Which statements are true regarding carvedilol (Coreg)and treatment of heart failure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Carvedilol (Coreg)should not be used to treat heart failure.
2)Carvedilol (Coreg)has the potential to worsen heart failure.
3)Carvedilol (Coreg)slows the heart rate and decreases blood pressure.
4)Carvedilol (Coreg)is a first-line drug for treating heart failure.
5)Carvedilol (Coreg)should not be used with other medications when treating heart failure.

Question 10

A client has been prescribed an ACE inhibitor to treat heart failure.Which medication is an ACE inhibitor?
1)Furosemide (Lasix)
2)Hydrochlorothiazide (Microzide)
3)Candesartan (Atacand)
4)Quinapril (Accupril)

Question 11

A client has been prescribed furosemide (Lasix)for heart failure.What does the nurse know about furosemide (Lasix)in regards to its choice of treatment?
1)It is a first-choice pharmacotherapy.
2)It is a second-choice pharmacotherapy.
3)It is a third-choice pharmacotherapy.
4)It is a fourth-choice pharmacotherapy.

Question 12

The nurse is caring for a client receiving furosemide (Lasix)for heart failure.What symptoms will the nurse monitor while the client is receiving this medication?
1)Symptoms of hypernatremia
2)Symptoms of increased WBCs
3)Symptoms of anemia
4)Symptoms of hypokalemia

Question 13

Which medication is reserved for clients unable to tolerate the adverse effects of ACE inhibitors?
1)Bumetanide (Bumex)
2)Valsartan (Diovan)
3)Lisinopril (Prinivil)
4)Furosemide (Lasix)

Question 14

The client asks the nurse to explain heart failure.Which statement should be included in the teaching by the nurse?
1)There are no known risk factors for developing heart failure.
2)Heart failure is the inability of the ventricles to pump enough blood to meet the body's metabolic demands.
3)Medications,diet,and exercise can cure heart failure.
4)Heart failure is very uncommon in people over age 70.

Question 15

The client with digoxin (Lanoxin)toxicity might exhibit which symptoms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Blurred vision
2)Tachycardia
3)Loss of appetite
4)Confusion
5)Bradycardia

Question 16

Which disorders are associated with an increased risk for heart failure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Diabetes
2)Coronary artery disease
3)Chronic hypertension
4)Myocardial infarction
5)Renal insufficiency

Question 17

The physician tells the nurse that a thiazide diuretic has been prescribed for the client.The nurse expects which medication to be prescribed?
1)Spironolactone (Aldactone)
2)Hydrochlorothiazide (Microzide)
3)Eplerenone (Inspra)
4)Furosemide (Lasix)

Question 18

Which medications are second-choice pharmacotherapy for heart failure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Beta-adrenergic blockers
2)Phosphodiesterase inhibitors
3)Diuretics
4)ACE inhibitors
5)Alpha blockers

Question 19

Which medications are the first choices of pharmacotherapy for heart failure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Beta-adrenergic blockers
2)Phosphodiesterase inhibitors
3)ACE inhibitors
4)Diuretics
5)Alpha blockers

Question 20

The nurse checks the serum digoxin level for a client,and the result is 2.0 mg/mL.The nurse anticipates which medication to be ordered because of this level?
1)Digoxin immune fab (Ovine)
2)The same dose of digoxin (Lanoxin)
3)Furosemide (Lasix)
4)An increased dose of digoxin (Lanoxin)

Question 21

The client is ordered to receive a cardiac glycoside.Which vital signs finding would make the nurse question administering this medication?
1)Blood pressure 119/66
2)Apical pulse 55 beats per minute
3)Temperature 99.4°F
4)Respirations 12 breaths per minute

Question 22

Which drug class,with a negative inotropic effect,is prescribed for the treatment of heart failure?
1)Diuretics
2)Cardiac glycosides
3)Beta-adrenergic blockers
4)Phosphodiesterase inhibitors

Question 23

The nurse is caring for a client who has not responded well to other treatments for heart failure.Which drug class is used for 2-3 days when other drugs have failed?
1)Beta-adrenergic blockers
2)Phosphodiesterase inhibitors
3)Angiotensin-receptor blockers
4)Cardiac glycosides

Question 24

Vasodilators have limited use due to which side effects? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Hypertension
2)Orthostatic hypotension
3)Blurry vision
4)Reflex tachycardia
5)Hypokalemia

Question 25

Heart failure clients have distinct signs and symptoms associated with the disease.Most drugs focus improving which characteristic of heart function?
1)Blood pressure
2)Heart rate
3)Contractility
4)Electrical impulse conduction

Question 26

Which are the three primary characteristics of heart function? (Select all that apply)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Blood pressure
2)Speed of conduction
3)Contractility of heart
4)Respirations
5)Heart rate