3130 Circulation

The nurse is attending to a client who was diagnosed with heart failure. During the exam, the nurse observes that the client is dyspneic with crackles upon auscultation. Which symptoms would manifest for a client with excess fluid volume?

• decreased central venous pressure (CVP)

• flat neck and hand veins

• hypertension

• weight loss

A client diagnosed with heart failure has been receiving IV diuretics. Which finding would the nurse expect to assess from this client suspected of experiencing fluid volume deficit?

• decreased hematocrit

• increased blood pressure

• lung congestion

• poor skin turgor

Which of the following patients are MOST at risk for developing heart failure? Select All That Apply.

• 69 year old male with a history of alcohol abuse & is recovering from a myocardial infarction

• 55 year old female with a history of asthma & hypoparathyroidism

• 30 year old male with a history of endocarditis & has severe mitral stenosis

• 45 year old female with Stage 2 lung cancer

• 58 year old female with uncontrolled hypertension and being treated for influenza

Which of the following are NOT typical signs/symptoms of right sided heart failure? Select All That Apply.

• jugular vein distention

• persistent cough

• weight gain

• crackles

• nocturia

Which of the following tests/procedures are NOT used to diagnose heart failure?

• echocardiogram

• brain natriuretic peptide blood test

• nuclear stress test

• Holter monitoring

A client is admitted with acute crushing chest pain that radiates down his left arm. The nurse expects which blood tests to be ordered for this client? Select All That Apply.

• blood urea nitrogen (BUN)

• hemoglobin & hematocrit

• creatine kinase

• hemocysteine level

• troponin

The nurse is assigned to three clients with the following diagnoses: MI, HF, and anemia. In planning for their nursing care, the nurse knows that all three clients will have which sign/symptom?

• pain

• distended neck veins

• shortness of breath

• nausea

The surgeon ordered sequential compression devices (SCDs) to be applied post-op. The clients asks why the SCDs are needed. Which is the best response by the nurse when teaching the client about the purpose of the SCDs?

• "They promote circuation"

• "They promote venous return from the legs"

• "They decrease afterlood"

• "They decrease post-op pain"

The spouse of a client is recalling the modifiable risk factors for coronary heart diease. Which statement by the client's spouse indicates a need for further teaching?

• "My spouse's age is a modifiable risk factor"

• "Diabetes is a modifiable risk factor"

• "Obesity is a modifiable risk factor"

• "My spouse's sedentary lifestyle is a modifiable risk factor"

Nursing interventions to reduce the risk of clot formation in the legs include which of the following activities? Select All That Apply.

• keep the patient's hips & kness flexed while the patient is in bed

• apply compression devices (SCDs)

• turn the patient/encourage position changes frequently

• promote adequate hydration by encouraging oral fluid intake