Tutoring (10/17)

Which of the following signs and symptoms are associated with right-sided heart failure? Select all that apply.

• Jugular Vein Distention

• Pulmonary Edema

• Hepatomegaly

• Ascites

• Cough

Answer explanation

Pulmonary edema and coughing are caused by left-sided heart failure.

Which of the following vital signs should the nurse monitor before administering metoprolol to the patient?

• Blood Pressure & Temperature

• Blood Pressure & Heart Rate

• Blood Pressure & Respiratory Rate

• Heart Rate & Respiratory Rate

Answer explanation

Beta-blockers can cause hypotension and bradycardia.

A patient recently diagnosed with atrial fibrillation is prescribed warfarin by the physician. Which of the following complications is the patient most at risk for?

• Endocarditis

• Heart Failure

• Bleeding

• Hypotension

Which of the following lab values should be monitored in a patient receiving warfarin?

• PTT & INR

• PT & INR

• Serum Electrolyte Levels

• CMP & INR

Which of the following indicates postural (orthostatic) hypotension?

• lying: 98/62

  sitting: 90/60

  standing: 92/64

• lying: 180/92

  sitting: 176/84

  standing: 172/98

• lying: 120/60

  sitting: 112/58

  standing: 110/62

• lying: 120/80

  sitting: 118/78

  standing: 90/68

Which of the following symptoms is associated with pulmonary edema?

• Rhonchi

• Peripheral Edema

• Pink, Frothy Sputum

• Ascites

How should the nurse best position a patient who has leg ulcers that are venous in origin?

• Keep the patient’s legs flat and straight

• Keep the patient’s knees bent to 45-degree angle and supported with pillows

• Elevate the patient’s lower extremities

• Dangle the patient’s legs over the side of the bed

A client is taking 50 mg of oral spironolactone twice a day to assist with blood pressure control. While the nurse is performing the morning assessment, the client reports nausea, general muscle cramps, and weakness. What electrolyte imbalance does the nurse suspect?

• Hyponatremia

• Hyperkalemia

• Hypokalemia

• Hypernatremia

Which of the follow diets should the patient diagnosed with congestive heart failure consume?

• High Sodium

• Low Sodium

• High Fat

• High Carbohydrate

A client with heart failure must be monitored closely after starting diuretic therapy. What is the best indicator for the nurse to monitor?

• Intake and Output

• Weight

• Vital Signs

• Urine Specific Gravity