adult health

Question 1

Left HF

Answer 1

Left-sided HF causes pulmonary edema (crackles, dyspnea),

Question 2

right HF

Answer 2

right-sided HF
causes peripheral edema, JVD, and hepatomegaly.

Question 3

BNP: B-type natriuretic peptide (BNP)

Answer 3

is secreted
in response to ventricular stretching. Elevated
BNP indicates fluid overload.

Question 4

Diet education

Answer 4

Clients with HF should restrict
fluids to <1.5-2 L/day and sodium to 2 grams/
day. To reduce sodium intake, limit intake of
packaged and processed foods.

Question 5

Daily weights:

Answer 5

Clients with HF should monitor
their weight at the same time daily, using the same scale and wearing the same clothes.
Report a weight gain of >3 lb (>1.5 kg) in 2 days or >5 lb (>2.5 kg) in 1 week.

Question 6

Pulmonary edema:

Answer 6

Monitor a client with HF for crackles or pink, frothy sputum, which indicate flash
pulmonary edema. If a client develops acute pulmonary edema, position in high-Fowler and administer
oxygen and IV diuretics.