Chapter 29 Quiz

A  The client shows signs of aneurysm rupture.

B  The client is in the early stage of right-sided heart failure.

C  The client is experiencing heart failure.

D  The client is going into cardiogenic shock.

A  Listening to breath sounds

B  Arterial blood gases

C  Pulse oximetry

D  End-tidal CO2

A  Pulmonary embolus

B  Myocardial ischemia

C  Ineffective right ventricular contraction

D  Cystic fibrosis

A  40%

B  55%

C  45%

D  50%

A  urine specific gravity.

B  vital signs.

C  weight.

D  fluid intake and output.

A  Administer pain medication.

B  Assess for jugular vein distention.

C  Assess the surgical incisional area.

D  Titrate oxygen therapy.

A  Notify the health care provider of the chest pain.

B  Hold any further treatment until the client’s blood pressure increases.

C  Wait ten minutes after the second tablet to assess pain.

D  Administer the third sublingual nitroglycerin tablet.

A  Decrease in blood pressure

B  Decrease in central venous pressure (CVP)

C  Absence of cough

D  Increase in CVP

A  Decreased mean pulmonary artery pressure

B  Decreased central venous pressure

C  Increase in the cardiac index

D  Increased pulmonary artery diastolic pressure

A  increased blood volume ejected from ventricle

B  decrease in renal perfusion

C  dehydration

D  vasodilation of skin

A  sustained elevation of the client’s legs

B  increasing activity

C  administration of a vasodilating drug (as ordered by a health care provider)

D  application of antiembolytic stockings

A  jugular vein distention

B  pitting edema of the legs

C  air hunger

D  ascites

A  First-degree heart block

B  Supraventricular tachycardia

C  Sinus tachycardia

D  Atrial fibrillation

A   It reduces ventricular ejection volume.

B  It increases afterload.

C   It increases preload.

D  It causes a loss of elasticity in the myocardium.

A  Assess for elevated blood urea nitrogen levels.

B  Assess for elevated blood potassium levels.

C  Assess for reduced urine output.

D  Assess for reduced blood sodium levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s joints for crepitus.

C  Examine the client’s neck for distended veins.

D  Monitor the client for signs of lethargy or confusion.

A  Progressive heart failure

B  Acute pulmonary edema

C  Cardiogenic shock

D  Pulmonary hypertension

A  place the client in high Fowler’s position

B  have the client take deep breaths and cough

C   perform chest physiotherapy

D  administer oxygen

A  decreased left ventricular pumping

B  decreased right ventricular elasticity

C  increased right atrial resistance

D  increased left atrial contractility

A  decreased renal perfusion

B  decreased right ventricular workload

C  decreased peripheral perfusion to the extremities

D  decreased left ventricular workload

A  Basilar crackles

B  Pulmonary congestion

C  Low ejection fraction (EF)

D  Limited activities of daily living (ADLs)

A  High blood pressure

B  Hyperactive bowel sounds

C  Increased urinary output

D  Tissue hypoperfusion

A  Sleeping in a chair or recliner

B  Gradual unexplained weight gain

C  Increased urine output

D  Increased perspiration

A  Systemic venous congestion

B  Reduction in cardiac output

C  Accumulation of blood in the lungs

D  Reduction in forward flow

A  peripheral edema

B  dry cough

C  postural hypotension

D  skin rash

A  55%

B  30%

C  5%

D  65%

A  nocturia

B  pedal edema

C  irregular pulse

D  fatigue

A  spironolactone

B  metolazone

C  mannitol

D   furosemide

A  Ascites

B  Dyspnea

C  Pulmonary crackles

D  Jugular vein distention

E  Cough

A  4.0 mg/mL

B  0.25 mg/mL

C  3.2 mg/mL

D  2.0 mg/mL

A  Reduction in cardiac output

B  Reduction in forward flow

C  Congestion in the peripheral tissues

D  Accumulation of blood in the lungs

A  cardiac ultrasound

B  electrocardiogram

C  cardiac catheterization

D  echocardiogram

A  sodium level of 152 mEq/L

B  potassium level of 2.8 mEq/L

C  calcium level of 7.5 mg/dL

D  magnesium level of 2.5 mg/dL

A   Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours

B  A 5- to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling

C   A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling

D  Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours

A  urine output of 300 mL in eight hours

B  heart rate of 55 beats per minute

C  blood pressure of 125/80

D  atrial fibillation rhythm

A  Natrecor

B  enalapril

C  captopril

D  metoprolol

A  hepatomegaly

B  inadequate cardiac output

C  nocturia

D  ascites

A  tuberculosis.

B  decompensated heart failure with pulmonary edema.

C   acute exacerbation of chronic obstructive pulmonary disease.

D  bilateral pneumonia.

A  Electrocardiogram (ECG)

B  Blood urea nitrogen (BUN)

C   Echocardiogram

D  Serum electrolytes

A  No JVD is present.

B  JVD is noted 2 cm above the sternal angle.

C  JVD is noted 4 cm above the sternal angle.

D  JVD is noted at the level of the sternal angle.

A  Excess pericardial fluid compresses the heart and prevents adequate diastolic filling.

B  Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.

C  The parietal and visceral pericardial membranes adhere to each other, preventing normal myocardial contraction.

D  The pericardial space is eliminated with scar tissue and thickened pericardium.

A  visual disturbances.

B  taste and smell alterations.

C  nocturia and sleep disturbances.

D  dry mouth and urine retention.

A  Weighing the client daily at the same time each day

B  Checking the client’s lungs for crackles during every shift

C  Assessing the client’s vital signs every 4 hours

D  Measuring and recording fluid intake and output

A  fluid intake and output.

B  urine specific gravity.

C  weight.

D  vital signs.

A  using mechanical ventilation

B  measuring intake and output

C  obtaining cardiac output with a pulmonary catheter

D  asking the client about comfort level

A  Listen for breath sounds over the epigastrium.

B  Observe for mist in the endotracheal tube.

C  Call for a chest x-ray.

D  Attach a pulse oximeter probe and obtain values.

A  Dopamine

B  Morphine sulfate

C  Furosemide

D  Nitroglycerin

A   Low-cholesterol diet

B  Low-fat diet

C  Low-potassium diet

D  Low-sodium diet

A  The client says he has been hungry in the evening.

B  The client says he is short of breath when ambulating.

C  The client says his rings have become tight and are difficult to remove.

D  The client says that he has been urinating less frequently at night.

A  anxiety

B  confusion

C  chest pain

D  dyspnea on exertion

A  II

B  I

C  III

D  IV

A   Afterload

B  Stroke volume

C   Ejection fraction

D  Preload

A  Vasculitis

B  nausea and vomiting

C  Enlargement of joints

D  Flexion contractures

A  Cardiac tamponade

B  Tension pneumothorax

C  Pulmonary embolism

D  Heart failure

A  An echocardiogram

B  An electrocardiogram

C  A ventriculogram

D  A chest x-ray

A  Dyspnea

B  Cough

C  Jugular vein distention (JVD)

D  Pulmonary crackles

A  Vasculitis

B  Flexion contractures

C  Enlargement of joints

D  Potassium levels

A  Dyspnea on exertion

B  Decreased urinary output

C  Hypotension

D  Tachycardia

A  Sleeping in a chair or recliner

B  Increased perspiration

C  Gradual unexplained weight gain

D  Increased urine output

A  Ibuprofen

B  Warfarin

C  Digoxin immune FAB

D  Amlodipine

A  Nocturia

B  Dizziness

C  Ascites

D  Tachycardia

A  a third heart sound (S3).

B  a murmur.

C  a fourth heart sound (S4).

D  a first heart sound (S1).

A   Lung sounds

B  Arterial blood gas (ABG) analysis

C  Skin color assessment

D  Pulse oximetry

A  Increased urinary output

B  High blood pressure

C  Restlessness and confusion

D  Hyperactive bowel sounds

A  dyspnea upon exertion.

B  hyperpnea.

C  orthopnea.

D  paroxysmal nocturnal dyspnea.

A  “Are you urinating excessively at night?”

B  “How far can you walk without becoming short of breath?”

C  “Are you only able to breathe when you are sitting upright?”

D  “Are you coughing up blood at night?”

A  Brain natriuretic peptide (BNP)

B  Creatinine

C  Complete blood count (CBC)

D  Blood urea nitrogen (BUN)