heart failure Flashcards

0
Q

the nurse in a longterm care facility is talking with a pt diagnosed with heart failure, diabetes, htn, and chronic renal failure. the nurse notes mild edema of the ankles while the client is sitting in the chair. breath sounds are clear, equal and with good chest excursion, and the client denies any feeling of shortness of breath. the nurse reviews the medical record and sees no significant change in the pts daily wieghts over the last week. what are the nurse’s priority interventions for this pt

A

encourage the pt to elevate feet when sitting

apply antiembolism stockings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

the nurse is caring for a client diagnosed with heart failure who is taking digoxin and furosemide which of the following lab value will the nurse monitor closely

A

potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when assessing a client diagnosed with left-sided heart failure the nurse anticipates which of the following findings

A

shortness of breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in reviewing the physicians admitting notes for a client with heart failure, the nurse notes that the client has an ejection fraction of 25%. the nurse recognizes this as meaning which of the following

A

ventricular function is severely impaired

***normal ejection fraction is 60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in assessing a client admitted 24hrs ago with heart failure, the nurse notes that the client has lost 2.5 lbs, HR is down from 105 to 88, and there are fine crackles only in the bases of the lungs. the nurse correctly interprets these data as indicating

A

the treatment regimen is achieving the desired effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the nurse caring for a client undergoing pulmonary artery pressure monitoring for heart failure provides appropriate care when the nurse…

A

calibrates ad levels the system every shift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the physician orders morphine 2mg to 5g IV as needed for pain and dyspnea for a client with pulmonary edema from heart failure. the nurse appropriately

A

administers the drug as ordered, monitoring resp function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the nurse is examining a client in the clinic for follow-up care for heart failure. which of the following, if reported by the client would not be assoc. with exacerbating heart failure

A

peptic ulcer disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly