INSTRUCTIONS Congestive heart failure: An 'F' isn't an option
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Congestive heart failure: An 'F' isn't an option
GENERAL PURPOSE: To provide the professional nurse with an overview of CHF and implications for nursing practice. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Explain the pathophysiology, symptoms, and classifications of CHF. 2. Identify the diagnostic tests, treatments, and nursing considerations for patients with CHF.
- The most common cause of left-sided CHF is
- cardiomyopathy of the right atrium.
- You can help relieve orthopnea by
- having your patient stand or sit up.
- having your patient lie down.
- placing your patient in a Trendelenburg position.
- One symptom of left-sided CHF is
- jugular venous distention.
- Fluid buildup in the smaller airways of the lungs can result in any of the following symptoms except
- pleural rub.
- Which heart sound indicates a faulty heart valve?
- An S4 is best assessed with your stethoscope's
- diaphragm over the heart's apex.
- bell over the heart's apex.
- bell over the aorta.
- Right-sided CHF and enlargement of the right ventricle
- produces increased fluid buildup in the lungs.
- results in pulmonic valve stenosis.
- can be caused by pulmonary hypertension.
- In right-sided CHF, elevated right atrial pressure and retrograde blood flow can cause
- pink, frothy foam when the patient coughs.
- jugular venous distension.
- an S3 heart sound.
- On the edema grading scale, moderate pitting is documented as
- According to the ACC/AHA classifications, which of the following isn't a risk factor for developing heart failure?
- family history of MI
- The New York Heart Association classifies a person experiencing tiredness with ordinary activity as
- Class I (mild).
- Class II (mild).
- Class III (moderate).
- A BNP level of 278 png/mL is
- indicative of CHF.
- diagnostic of severe CHF.
- A normal EF is between
- 30% and 40%.
- 50% and 70%.
- 80% and 90%.
- Cardiac catheterization of the left side of the heart is used to
- determine if there are occlusions causing ischemia of the myocardium.
- assess the fluid status and pressures within the heart.
- measure the amount of blood remaining in the ventricle after systole.
- Which type of medication is used to improve the contraction strength of the ventricles?
- inotropic agents
- ACE inhibitors
- Patients taking ACE inhibitors may
- experience a significant rise in BP.
- can develop a chronic cough.
- have falsely negative BNP levels.
- Which type of diuretic is considered potassium-sparing?
- aldosterone antagonists
- carbonic anhydrase inhibitors
- Patients with electrically induced bradycardia may benefit from
- a VAD.
- a pacemaker.
- Which of the following instructions is generally given to patients with CHF?
- Restrict sodium to no more than 2 g/day.
- Restrict fluid to no more than 1 L/day.
- Alert your healthcare provider about a weight gain of 1 to 2 lb/week.
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