MS1 Mod 5 Ch 26 Heart Failure

The nurse is caring for a group of patients. Which patient is at highest risk for developing heart failure (HF)?

• A Black female

• An Asian male

• A Hispanic female

• A White male

The nurse is caring for a patient with pulmonary edema. Which position is most beneficial?

• Right side-lying

• Trendelenburg

• Semi-Fowler

• Prone

A patient with HF is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

• Obtain a bedside commode.

• Walk the patient to the bathroom.

• Obtain a bedpan for the patient to use.

• Call for help while holding the patient in bed.

The nurse is reviewing laboratory results for a newly admitted patient with lung crackles. Which result should be of most concern to the nurse?

• An elevated serum B-type natriuretic peptide (BNP) level

• A low thyroid-stimulating hormone (TSH) level

• An elevated blood urea nitrogen (BUN) level

• A normal sodium level

The nurse is caring for a group of patients. Which patient should the nurse see first?

• A patient with a sodium level of 137 mEq/L

• A patient with urine output of 50 mL/hr

• A patient with an elevated BNP level

• A patient with sudden onset of confusion

The nurse is caring for a patient and notes the patient is coughing up pink, frothy sputum. Which action should the nurse take?

• Document the finding as normal.

• Encourage the patient to drink more fluids.

• Notify the health-care provider (HCP).

• Instruct the patient to ambulate frequently.

The HCP informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

• This means that the left side of your heart is weak and failing.

• This means that both sides of your heart are weak and not pumping well.

• This means that the right side of your heart is weak and not pumping effectively.

• This means that more testing is needed to determine what is wrong.

A patient with HF has shallow respirations building to deep breaths followed by a period of apnea. How should the nurse document this finding?

• Cheyne-Stokes respirations

• Exertional dyspnea

• Orthopnea

• Paroxysmal nocturnal dyspnea

During a visit to the home of a patient with HF and diabetes, the nurse learns that the patient “feels strange.” Data collected includes BP 172/94 mm Hg, pulse 112 beats/minute, respirations 22/minute, heart rhythm regular, and coarse crackles in lower lung bases. What action should the nurse take?

• Consult the registered nurse (RN).

• Give the patient orange juice.

• Assist the patient to bed for a nap.

• Recheck vital signs in 30 minutes.

A patient with a low potassium level is to receive furosemide (Lasix) 20 mg by mouth. What action should the nurse take?

• Give the medication 30 minutes early.

• Give the medication as scheduled now.

• Consult the RN before giving the medication.

• Hold this scheduled dose of the medication.