Heart Failure

Open Ended

What are some common symptoms and causes of heart failure that you are aware of?

Multiple Choice

Which cardiac laboratory test uses sound waves to create images of the heart?

• X-ray

• MRI

• CT scan

• Echocardiogram

Multiple Choice

Which of the following ejection fraction (EF) values is most indicative of heart failure with reduced ejection fraction (HFrEF)?

• 65%

• 55%

• 45%

• 35%

Multiple Select

Which of the following are considered underlying causes of heart disease?

• Coronary artery disease

• Hypertension

• Infection

• Arrhythmias

Multiple Choice

You're giving a speech in front of the class (most of you would feel this)

• sympathetic
• parasympathetic

Multiple Choice

increased heart rate

• sympathetic
• parasympathetic

Multiple Choice

Inhibits digestive acitvity

• Sympathetic Nervous System

• Parasympathetic Nervous System

Multiple Choice

What is the primary function of the Renin-Angiotensin System?

• Promote muscle growth and repair

• Regulate blood pressure and fluid balance

• Regulate heart rate and respiratory function

• Control body temperature and metabolism

Multiple Choice

Where is renin produced in the body?

• Lungs

• Kidneys

• Stomach

• Liver

Multiple Choice

What is the main target organ of angiotensin II?

• Blood vessels

• Liver

• Lungs

• Stomach

Multiple Choice

What effect does angiotensin II have on blood vessels?

• Decreased blood pressure

• No effect

• Vasoconstriction

• Vasodilation

Multiple Choice

What is the role of aldosterone in the Renin-Angiotensin System?

• Inhibits the release of renin

• Promotes vasoconstriction in the blood vessels

• Increases reabsorption of sodium and water in the kidneys

• Decreases reabsorption of sodium and water in the kidneys

Meet your Patients

Ms. Rite

Mr. Lane

Multiple Select

Which of the following are recommended lifestyle modifications to reduce the risk of developing heart failure?

• Regular physical activity

• No smoking

• High sodium diet

• Healthy eating

Multiple Choice

Which of the following is the best indicator of fluid status changes in patients with heart failure?

• Daily weights

• Stethoscope examination

• Blood pressure monitoring

• Electrocardiogram (ECG)

Multiple Choice

Which of the following is a sign of right-sided heart failure?

• Crackles

• Orthopnea

• JVD

• Pink frothy sputum

Multiple Choice

Our HF patients should have < ____________ mg Salt/Day

• < 1000mg Salt/Day

• < 2000mg Salt/Day

• < 3000mg Salt/Day

• < 4000mg Salt/Day

Multiple Choice

What is the best time to weigh my HF patient?

• at midnight, do the wake and weigh

• right before bed, before they use the bathroom

• first thing in the morning, right after they use the bathroom

• during an RRT for shortness of breath

Multiple Choice

This type of heart failure is characterized by a weak and thin left ventricle that is unable to pump blood normally causing fluid to back up into the lungs. The ejection fraction is reduced.

• Valvular

• Diastolic

• Atrial

• Systolic

Multiple Choice

This type of heart failure is characterized by the heart muscle becoming thick and stiff causing it to be unable to relax and the ventricles are unable to fill properly. Ejection fraction is normal.

• Diastolic

• Atrial

• Valvular

• Systolic

Multiple Choice

Heart failure is a normal part of aging?

• True

• In some cases

• False

• Maybe

Multiple Select

A patient who has been treated for heart failure is being prescribed 20 mg furosemide (Lasix) daily upon discharge from the hospital. Which of the following statements by the patient would indicate to the nurse the need for further teaching for this medication? Select all that apply.

• “I will take the Lasix in the morning.”

• “I will take the Lasix at bedtime.”

• “I will drink lots of fluids with the Lasix.”

• “I will take it with each meal.”

• “I will eat more bananas.”

Multiple Select

Systolic heart failure means there is a decreased

• contraction
• relaxation
• ejection
• filling

Multiple Choice

Left sided heart failure is not effectively pumping blood to the

• body
• lungs