Deck 28: Caring for Clients With Heart Failure

Question 1

A client with left-sided heart failure is in danger of impaired renal perfusion. How would the nurse assess this client for impaired renal perfusion?

A) Assess for reduced urine output.
B) Assess for reduced blood sodium levels .
C) Assess for elevated blood potassium levels.
D) Assess for elevated blood urea nitrogen levels.

Answer 1

Assess for elevated blood urea nitrogen levels.

Question 2

The nurse is preparing a client for a multiple gated acquisition (MUGA) scan. What would be an important instruction for the nurse to give a client who is to undergo a MUGA scan?

A) Avoid any activity at least 2 hours before the test.
B) Drink plenty of fluids during the test.
C) Avoid dairy products a day before and a day after the test.
D) Lie very still at intermittent times during the test.

Answer 2

Lie very still at intermittent times during the test.

Question 3

Nursing management of a client in heart failure with pulmonary edema includes which of the following?

A) Observation of the effectiveness of emergency drug therapy
B) Pulse oximetry hourly
C) Fluid bolus hourly
D) Assessment for decreased urine output

Answer 3

Observation of the effectiveness of emergency drug therapy

Question 4

The student nurse is caring for a client with heart failure. Diuretics have been ordered. What method would help the nurse evaluate the client's response to diuretics?

A) Using mechanical ventilation
B) Using a urinary catheter
C) Using a pulmonary artery catheter
D) Using a biventricular pacemaker

Question 5

You are caring for a client with a cardiac disorder who is prescribed diuretics. What important factor should you include in this client's teaching plan?

A) A discussion of the signs and symptoms of anemia.
B) A discussion of the signs and symptoms of electrolyte and water loss.
C) A discussion of the required room temperature conditions in the home environment.
D) A discussion on how to avoid direct sunlight when outdoors.

Question 6

You are caring for a client with suspected right-sided heart failure. What would you know that clients with suspected right-sided heart failure may experience?

A) Increased urine output
B) Gradual unexplained weight gain
C) Increased perspiration
D) Sleeping in a chair or recliner

Question 7

A client diagnosed with heart failure has been admitted to the ICU prior to invasive treatment. What treatment could be considered curative for this client?

A) Cardiomyoplasty
B) External pacemaker placement
C) Surgical ventricular restoration
D) Ventricular Assist Device

Question 8

A class of beginning nursing students is learning about heart failure in their pathophysiology class. What should the students be taught is the reason for heart failure?

A) The heart cannot pump sufficient blood to meet the body's metabolic needs.
B) The heart is pumping too fast to adequately meet the body's metabolic needs.
C) The heart is pumping too slow to disseminate nutrients to the body.
D) The heart is fibrillating.

Question 9

The triage nurse in the Emergency Department (ED) is admitting a client with a history of Class III heart failure. What symptoms would the nurse expect the client to exhibit?

A) Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea. The client does not experience any limitation of activity.
B) Ordinary physical activity results in fatigue, heart palpitation, or dyspnea.
C) The client is comfortable at rest, but less than ordinary activity causes fatigue, heart palpitation, or dyspnea.
D) Symptoms of cardiac insufficiency occur at rest. Discomfort is increased if any physical activity is undertaken.

Question 10

You are assessing a client for heart failure and find that there is an underlying structural heart disease and prior symptoms of heart failure. In what stage of chronic heart failure should the nurse categorize this client?

A) Stage A
B) Stage B
C) Stage C
D) Stage D

Question 11

A client is admitted to the ICU with a diagnosis of heart failure. The client is exhibiting symptoms of weakness, ascites, weight gain, and jugular vein distention. The nurse would know that the client is exhibiting signs of what kind of heart failure?

A) Left-sided heart failure
B) Chronic heart failure
C) Acute heart failure
D) Right-sided heart failure

Question 12

A client in pulmonary edema has been admitted to the ICU. What would be the standard care for this client?

A) Intubation of the airway
B) BP and pulse measurements every 15 to 30 minutes
C) Insertion of a central venous catheter
D) Hourly administration of a fluid bolus

Question 13

A client with severe mitral valve insufficiency has been admitted to your unit. The client is in heart failure and has developed pulmonary edema. What would be the best course of treatment for this client?

A) Cardiac glycosides
B) Beta blockers
C) Surgery
D) Palliative care

Question 14

During a pre-nursing pharmacology class, the students learn about cardiac medications. When administering a cardiac glycoside or digitalis to a client with tachycardia, when would the students learn to withhold the dose until the physician is consulted?

A) The client's pulse pressure is 35 mm Hg.
B) The client's pulse pressure is 50 mm Hg.
C) The client's heart rate is 50 beats per minute.
D) The client's heart rate is 100 beats per minute.

Question 15

The Cardiac Nurse Clinician is teaching a group of clients with heart failure about self-management of their disease. What dietary advice should the Nurse Clinician give to clients with severe heart failure until edema resolves?

A) Avoid the intake of processed and commercially prepared foods.
B) Avoid the intake of canned fruit and fruit juices.
C) Encourage increased intake of vegetables with natural sodium.
D) Encourage increased intake of red meat.

Question 16

The nursing instructor is teaching their clinical group how to assess a client for congestive heart failure. How would the instructor teach the students to assess a client with congestive heart failure for nocturnal dyspnea?

A) By collecting the client's urine output
B) By observing the client's diet during the day
C) By measuring the client's abdominal girth
D) By questioning how many pillows the client normally uses for sleep

Question 17

The nursing instructor is teaching the nursing class about care of the client in pulmonary edema who has been intubated to maintain blood gas levels. What would the instructor teach the students about care of this intubated client?

A) Deep suction every 15 minutes to maintain oxygen levels.
B) Establish an alternative method for verbal communication.
C) Keep the client sedated to reduce workload on the heart.
D) Provide oral fluids at room temperature to reduce the risk of coughing.

Question 18

The nurse is caring for a client with heart failure that has developed pulmonary edema. The client has become very anxious. What medication would the nurse expect to be ordered to assist this client's breathing and anxiety?

A) Intropin
B) Calcium channel blockers
C) Morphine sulfate
D) Lasix

Question 19

The nurse documents 3+ pitting edema in the bilateral lower extremities of the client. What does this documentation mean?

A) There is excess fluid volume in the interstitial space in areas affected by gravity.
B) There is excess fluid volume in the venous system of the lower extremities.
C) There is excess fluid volume in the arterial system of the lower extremities.
D) There is excess fluid volume in the hepatic system.

Question 20

You are working in a long-term care facility with a group of older adults with cardiac disorders. Why would it be important for you to closely monitor an older adult receiving digitalis preparations for cardiac disorders?

A) Older adults are at increased risk for toxicity.
B) Older adults are at increased risk for cardiac arrests.
C) Older adults are at increased risk for hyperthyroidism.
D) Older adults are at increased risk for asthma.

Question 21

You are talking about heart failure to a local community group. What would you explain is the major cause of right-sided heart failure?

A) COPD
B) Left-sided heart failure
C) Venous insufficiency
D) Pulmonary hypertension

Question 22

You are caring for a client with left-sided heart failure. When you go in to do your shift assessment, you find your client is wheezing, restless, tachycardic, and has severe apprehension. You know that these are symptoms of what?

A) Acute pulmonary edema
B) Progressive heart failure
C) Pulmonary hypertension
D) Cardiogenic shock

Question 23

A client with severe respiratory compromise due to pulmonary edema has just been admitted to the ICU. What medications would be necessary for the nurse to administer?

A) Oral diuretics
B) Anti-hypertensives
C) Anti-inflammatories
D) Inotropic agents

Question 24

What disease processes contribute to chronic heart failure? Select all that apply.

A) Tachydysrhythmias
B) Valvular disease
C) Pancreatic disease
D) Renal failure
E) Pulmonary insufficiency

Question 25

The nursing instructor is discussing heart failure with their clinical group. The instructor talks about heart failure in terms of a decreasing ejection fraction of the heart. What diagnostic test is used to measure the ejection fraction of the heart?

A) MRI
B) Pulmonary arterial pressure
C) Echocardiogram
D) Nuclear angiographyAdd Question Here