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WorksheetsHeart Failure
Total questions: 15
Worksheet time: 8mins
Which statements accurately describe heart failure (HF) (select all that apply)?
A common cause of diastolic failure is left ventricular dysfunction.
A primary risk factor for heart failure is coronary artery disease (CAD)
Systolic heart failure results in a normal left ventricular ejection fraction.
Systolic failure is characterized by abnormal resistance to ventricular filling.
Hypervolemia precipitates heart failure by decreasing cardiac output and increasing oxygen consumption.
What describes the action of the natriuretic peptides and nitric oxide in their counterregulatory processes in response to heart failure (HF)?
. Excretion of potassium
Increased release of ADH
Vasodilation and decreased blood pressure (BP)
Decreased glomerular filtration rate and edema
Which initial physical assessment finding would the nurse expect to be present in a patient with acute left-sided heart failure?
Bubbling crackles and tachycardia
Hepatosplenomegaly and tachypnea
Peripheral edema and cool, diaphoretic skin
Frothy, blood-tinged sputum and distended jugular veins
The nurse assesses the patient with chronic biventricular heart failure for paroxysmal nocturnal dyspnea (PND) by questioning the patient regarding
the presence of restlessness and confusion.
frequent awakening to void during the night
the presence of swelling in dependent body areas.
waking in a panic with a feeling of suffocation.
A patient with chronic heart failure has atrial fibrillation and a left ventricular ejection fraction (LVEF) of 18%. To decrease the risk of complications from these conditions, what drug does the nurse anticipate
Diuretic
Anticoagulant
B-Blocker
Potassium Supplement
Which medication shows improvement in HF for African American patients for hypertension and angina?
. Captopril
Nitroglycerin
Spironolactone (Aldactone)
Isosorbide dinitrate and hydralazine (BiDil)
Priority Decision: A patient is admitted to the emergency department with ADHF. Which IV medication would the nurse expect to administer first?
Digoxin (Lanoxin)
Morphine sulfate
Nesiritide (Natrecor)
Bumetanide (Bumex)
The patient with chronic heart failure is being discharged with a diuretic, a renin-angiotensin-aldosterone system (RAAS) inhibitor, and a β-adrenergic blocker. When received from the pharmacy, which medication should not be included for this patient?
Dopamine
Losartan (Cozaar)
Carvedilol (Coreg)
Hydrochlorothiazide
The nurse monitors the patient receiving treatment for acute decompensated heart failure with the knowledge that marked hypotension is most likely to occur with the IV administration of which medication?
Milrinone
Furosemide
Nitroglycerin
Nitroprusside
Which statement by the patient with chronic heart failure should cause the nurse to determine that additional discharge teaching is needed?
“I will call my health clinic if I wake up breathless at night.”
“I will look for sodium content on labels of foods and over-the-counter medicines.”
“I plan to organize my household tasks so I don’t have to constantly go up and down the stairs.”
. “I should weigh myself every morning and go on a diet if I gain more than 2 or 3 pounds in 2 days.”
Which definition best describes left-sided heart failure?
Increased volume and pressure develop and result in peripheral edema.
It can occur when cardiac output remains normal or above normal.
There is decreased tissue perfusion from poor cardiac output and pulmonary congestion from increased pressure in the pulmonary vessels.
It is the percentage of blood ejected from the heart during systole.
The nurse is assessing a patient with right- sided heart failure. Which assessment findings does the nurse expect to see in this patient?
Dependent edema
Weight loss
Jugular venous distention
Hypotension
Hepatomegaly
A patient is at risk for heart failure but currently has no official medical diagnosis. While assessing the patient’s lungs, the nurse hears profuse fine crackles. What does the nurse do next?
Report the finding to the health care provider.
Document the finding as a baseline for later comparison.
Give the patient low-flow supplemental oxygen
Ask the patient to cough and reauscultate the lungs.
Which interventions are effective for a patient with a potential for pulmonary edema caused by heart failure? Select all that apply.
Sodium and fluid restriction
Slow infusion of hypotonic saline
Administration of potassium
Administration of loop diuretics
Weekly weight monitoring
A patient has recently been diagnosed with acute heart failure. Which medication order does the nurse question?
Dobutamine, a beta-adrenergic agonist
Milrinone, a phosphodiesterase inhibitor
Levosimendan, a positive inotropic
Carvedilol, a beta blocker
