Heart Failure

Question 1

Pulmonary Edema Signs

Answer 1

• anxious, pale, cyanotic
• dyspnea
• cough

Question 2

chronic HF signs

Answer 2

• fatigue
• dyspnea
• weight gain
• edema: liver, abdomen, lungs

Question 3

ADHF Care

Answer 3

• VS, O2, urinary output
• hemodynamic if unstable
• supplemental oxygen
• mechanical vent if unstable
• high fowler’s

Question 4

Ultrafiltration (aquapheresis)

Answer 4

for patients with volume overload and resistance to diuretics

Question 5

Circulatory assist devices for patients with deteriorating HF

Answer 5

• intraaortic balloon pump

- ventricular assist device

Question 6

HF Nutrition

Answer 6

• low sodium

- daily weights (>3 gain**)

Question 7

HF Diagnoses

Answer 7

• impaired gas exchange
• decreased CO
• excess fluid volume
• activity intolerance

Question 8

Chronic HF Interventions

Answer 8

• respiratory status
• oxygen therapy
• semi-fowlers
• I&O
• alternate activity & rest

Question 9

FACES

Answer 9

• fatigue
• activity intolerance
• chest congestion
• edema
• shortness of breath

Question 10

Post transplant monitoring

Answer 10

• acute rejection
• infection
• cardiac vasculopathy
• endomyocardial biopsies

Question 11

Acute MI signs

Answer 11

• heavy, pressure, tight pain
• burning, crushing feeling
• occur while at rest, asleep or awake
• early in mornings
• > 20 min or longer

Question 12

A PCI with stent placement is performed on a client with an 80% blockage of the left circumflex coronary artery. What does the nurse teach the patient in order to prevent thrombosis following the procedure?

Answer 12

Don’t move affected extremity for 6-8 hours

Question 13

A patient has been diagnosed with chronic mitral regurgitation. When interviewing the patient, which of these should the nurse expect the patient to report?

Answer 13

frequent dyspnea

Question 14

You receive a patient suspected of ACS to the ED: the patient is in route via care. Which nursing interventions will you anticipate initiating?

Answer 14

• obtain lab results
• Administer oxygen to maintain saturation 90% or greater
• pain relief
• Remain calm and stay with patient if possible.
• Obtain ECG within 5 minutes of arrival.

Question 15

At 0745, the nurse is informed by the HCP that a cardiac cauterization is to be completed on the client at 1400. Which intervention will be the nurse’s priority?

Answer 15

Place the client on nothing by mouth status.