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WorksheetsAbrams Chapter 30
Total questions: 20
Worksheet time: 10mins
What is the primary goal of drug therapy for heart failure?
Increase heart rate
Improve cardiac output and reduce symptoms
Promote clot formation
Reduce respiratory rate
Which of the following is a first-line drug class used in heart failure?
Calcium channel blockers
ACE inhibitors
Antacids
Statins
How do ACE inhibitors help in heart failure management?
Increase preload
Promote vasodilation and reduce afterload
Raise blood glucose
Promote sodium retention
A common adverse effect of ACE inhibitors is:
Tinnitus
Dry cough
Diarrhea
Blurred vision
Which of the following is the primary action of beta blockers in heart failure?
Increase myocardial oxygen demand
Decrease heart rate and reduce cardiac workload
Promote fluid retention
Increase contractility
Which of the following beta blockers is commonly used in heart failure?
Metoprolol succinate
Atenolol
Propranolol
Nadolol
Loop diuretics help manage heart failure by:
Reducing potassium loss
Promoting fluid excretion to relieve symptoms
Increasing sodium levels
Enhancing myocardial contraction
A patient on furosemide should be monitored for:
Hyperkalemia
Hypokalemia
Hyperglycemia
Hypernatremia
Which drug increases myocardial contractility in heart failure?
Lisinopril
Furosemide
Digoxin
Amlodipine
What is an early sign of digoxin toxicity?
Constipation
Yellow vision or visual halos
Bradycardia
Confusion
What is the therapeutic serum level of digoxin?
0.5–2.0 ng/mL
2.5–5.0 ng/mL
10–15 ng/mL
15–20 ng/mL
Spironolactone helps in heart failure by:
Promoting water retention
Conserving sodium
Blocking aldosterone and reducing fluid overload
Increasing blood pressure
Which adverse effect is associated with spironolactone?
Hypokalemia
Hyperkalemia
Hypoglycemia
Bradycardia
Which of the following should be included in patient teaching for heart failure?
Increase salt intake
Monitor weight daily
Avoid all physical activity
Take extra diuretic doses if symptoms worsen
What type of medication is sacubitril/valsartan?
ACE inhibitor
ARB and neprilysin inhibitor combination
Beta blocker
Calcium channel blocker
An older adult patient is admitted to the cardiac intensive care unit with acute onset left-sided systolic heart failure with reduced ejection fraction (HFrEF). Which of the following symptoms would the nurse most likely anticipate?
peripheral edema
weight gain
dyspnea
anxiety
A 35-year-old female has been prescribed enalapril maleate. What should the nurse teach the patient?
Use effective contraception
Double the dose if one is missed.
If dizziness occurs, it is not a concern.
There is no change in dose with impaired kidney function.
What is the purpose of administering an angiotensin receptor blocker to a patient with heart failure?
It will increase vasoconstriction to increase myocardial contractility.
It will block the influx of calcium across the sinoatrial node.
It will inhibit the enzyme that catalyzes cholesterol synthesis.
It will block the renin–angiotensin II system to increase vasodilation.
During the administration of milrinone, the patient’s blood pressure decreases from 170/96 to 96/60 mm Hg. What is the first nursing intervention the nurse should perform?
Call the physician
Administer a vasoconstrictor
Reduce the infusion rate
Reassess the blood pressure.
A patient is taking furosemide, 40 mg daily, to decrease extracellular fluid related to heart failure. During patient teaching, which of the following points is most important for the nurse to convey?
Sodium intake should be increased due to fluid loss.
Administration of the medication with food will decrease absorption.
The skin should be protected from sun exposure using sunscreen.
Foods that contain potassium should be encouraged to prevent hyperkalemia.
