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Chapter 26

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

The nurse is providing patient education. The patient asks the nurse what HF is. Which of the following is the nurse's best response?

a)

"The heart pumps too much blood into the pulmonary veins."

b)

"The heart is unable to pump enough blood for the body's oxygen needs."

c)

"HF is a buildup of blood in the aorta from the heart's left ventricle."

d)

"With a failing heart, the heart stops beating, so blood is not pumped out."

2.

The nurse is to give bumetanide (Bumex) to a patient and reviews laboratory results. Which of these results requires action by the nurse?

a)

Potassium 3.0 meq/dL

b)

sodium 135 meq/dL

c)

International normalized ratio 0.8

d)

Partial thromboplastin time 36 seconds

3.

A patient who has been treated for HF is being discharged from the hospital on 20 mg furosemide (Lasix) daily. Which of the following statements by the patient would indicate understanding to the nurse for instructions on taking this medication?

a)

"I will take the Lasix in the morning"

b)

"I will take the Lasix at bedtime."

c)

"I will drink lots of fluids with the Lasix"

d)

"I will take it with meals"

4.

The nurse is caring for a patient receiving bumetanide (Bumex) to reduce preload for HF. While collecting data, the nurse sees the patient has less ankle edema and jugular venous distention than earlier. The next dose of bumetanide is scheduled for 1 hour. Which of the following actions should the nurse take?

a)

Notify the physician

b)

Hold the bumetanide

c)

Give the bumetanide as scheduled

d)

Give the bumetanide early

5.

The nurse is reinforcing teaching for a patient with chronic HF. Which of the following assessments should the nurse teach the patient to perform to monitor fluid status at home?

a)

Weigh daily

b)

Weigh weekly

c)

Weigh biweekly

d)

Weigh monthly

6.

A patient is being given digoxin (Lanoxin) to treat heart failure. Which of the following is a usual adult daily dosage of digoxin (Lanoxin)?

a)

0.005 mg

b)

0.025 mg

c)

0.25 mg

d)

2.5 mg

7.

When the nurse is reviewing a patient's daily laboratory test results, which of the following electrolyte imbalances should the nurse recognize as predisposing the patient to digoxin toxicity?

a)

Hypokalemia

b)

Hyperkalemia

c)

Hyponatremia

d)

Hypernatremia

8.

If a patient has elevated pulmonary vascular pressures, the nurse understands that the patient is most likely to develop which of the following physiological cardiac changes?

a)

Left atrial atrophy

b)

Right atrial atrophy

c)

Left ventricular hypertrophy

d)

Right ventricular hypertrophy

9.

A patient is admitted to a medical unit with a diagnosis of heart failure. The patient reports increasing fatigue during the past 2 weeks. Which of the following is the most likely cause of this fatigue?

a)

Dyspnea

b)

Decreased cardiac output

c)

Dry Cough

d)

Orthopnea

10.

A patient's chest x-ray examination indicates fluid in both lung bases. Which of the following signs or symptoms present during the nurse's data collection most reflects these x-ray examination findings?

a)

Fatigue

b)

Peripheral Edema

c)

Bilateral Crackles

d)

Jugular vein distention