Deck 103: Heart Failure

Question 1

A patient who has Class II heart failure is taking an ACE inhibitor and reports a recurrent cough that does not interfere with sleep or activity. What will the provider do initially to manage this patient?

A) Assess serum potassium and sodium immediately
B) Discontinue the ACE inhibitor and prescribe an ARB
C) Provide reassurance that this is a benign side effect
D) Withhold the drug and evaluate renal and pulmonary function

Answer 1

C

Question 2

A patient experiencing heart failure with reduced ejection fraction will have which symptoms?

A) Dyspnea and fatigue without volume overload
B) Impairment of ventricular filling and relaxation
C) Mild, exertionally related dyspnea
D) Pump failure from left ventricular systolic dysfunction

Answer 2

D

Question 3

A patient who has been diagnosed with heart failure for over a year reports being comfortable while at rest but experiences palpitations and dyspnea when walking to the bathroom. Which classification of heart failure is appropriate based on these symptoms?

A) Class I
B) Class II
C) Class III
D) Class IV

Answer 3

B