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  Arterial blood gases

B  Pulse oximetry

C  End-tidal CO2

D  Listening to breath sounds

A  Myocardial ischemia

B  Pulmonary embolus

C  Ineffective right ventricular contraction

D  Cystic fibrosis

A  40%

B  55%

C  50%

D  45%

A  urine specific gravity.

B  weight.

C  fluid intake and output.

D  vital signs.

A  Assess the surgical incisional area.

B  Titrate oxygen therapy.

C  Assess for jugular vein distention.

D  Administer pain medication.

A  Administer the third sublingual nitroglycerin tablet.

B  Notify the health care provider of the chest pain.

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

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

A  Decrease in blood pressure

B  Increase in CVP

C  Decrease in central venous pressure (CVP)

D  Absence of cough

A  Increase in the cardiac index

B  Increased pulmonary artery diastolic pressure

C  Decreased mean pulmonary artery pressure

D  Decreased central venous pressure

A  decrease in renal perfusion

B  vasodilation of skin

C  increased blood volume ejected from ventricle

D  dehydration

A  application of antiembolytic stockings

B  increasing activity

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

D  sustained elevation of the client’s legs

A  ascites

B  air hunger

C  pitting edema of the legs

D  jugular vein distention

A  First-degree heart block

B  Sinus tachycardia

C  Atrial fibrillation

D  Supraventricular tachycardia

A  It increases afterload.

B   It reduces ventricular ejection volume.

C  It causes a loss of elasticity in the myocardium.

D   It increases preload.

A  Assess for reduced urine output.

B  Assess for reduced blood sodium levels.

C  Assess for elevated blood urea nitrogen levels.

D  Assess for elevated blood potassium levels.

A  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s neck for distended veins.

C  Examine the client’s joints for crepitus.

D  Examine the client’s eyes for excess tears.

A  Acute pulmonary edema

B  Cardiogenic shock

C  Progressive heart failure

D  Pulmonary hypertension

A   perform chest physiotherapy

B  place the client in high Fowler’s position

C  administer oxygen

D  have the client take deep breaths and cough

A  decreased right ventricular elasticity

B  decreased left ventricular pumping

C  increased left atrial contractility

D  increased right atrial resistance

A  decreased right ventricular workload

B  decreased left ventricular workload

C  decreased renal perfusion

D  decreased peripheral perfusion to the extremities

A  Limited activities of daily living (ADLs)

B  Low ejection fraction (EF)

C  Pulmonary congestion

D  Basilar crackles

A  Increased urinary output

B  High blood pressure

C  Hyperactive bowel sounds

D  Tissue hypoperfusion

A  Sleeping in a chair or recliner

B  Increased urine output

C  Gradual unexplained weight gain

D  Increased perspiration

A  Systemic venous congestion

B  Reduction in cardiac output

C  Reduction in forward flow

D  Accumulation of blood in the lungs

A  skin rash

B  dry cough

C  peripheral edema

D  postural hypotension

A  5%

B  65%

C  30%

D  55%

A  pedal edema

B  fatigue

C  nocturia

D  irregular pulse

A  spironolactone

B  mannitol

C   furosemide

D  metolazone

A  Cough

B  Ascites

C  Pulmonary crackles

D  Jugular vein distention

E  Dyspnea

A  0.25 mg/mL

B  3.2 mg/mL

C  2.0 mg/mL

D  4.0 mg/mL

A  Congestion in the peripheral tissues

B  Accumulation of blood in the lungs

C  Reduction in cardiac output

D  Reduction in forward flow

A  electrocardiogram

B  cardiac catheterization

C  echocardiogram

D  cardiac ultrasound

A  calcium level of 7.5 mg/dL

B  sodium level of 152 mEq/L

C  magnesium level of 2.5 mg/dL

D  potassium level of 2.8 mEq/L

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

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

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

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

A  atrial fibillation rhythm

B  heart rate of 55 beats per minute

C  urine output of 300 mL in eight hours

D  blood pressure of 125/80

A  metoprolol

B  Natrecor

C  enalapril

D  captopril

A  ascites

B  nocturia

C  inadequate cardiac output

D  hepatomegaly

A   acute exacerbation of chronic obstructive pulmonary disease.

B  tuberculosis.

C  decompensated heart failure with pulmonary edema.

D  bilateral pneumonia.

A  Serum electrolytes

B  Blood urea nitrogen (BUN)

C   Echocardiogram

D  Electrocardiogram (ECG)

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

B  JVD is noted 4 cm above the sternal angle.

C  JVD is noted 2 cm above the sternal angle.

D  No JVD is present.

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

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

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

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

A  nocturia and sleep disturbances.

B  taste and smell alterations.

C  dry mouth and urine retention.

D  visual disturbances.

A  Assessing the client’s vital signs every 4 hours

B  Weighing the client daily at the same time each day

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

D  Measuring and recording fluid intake and output

A  weight.

B  urine specific gravity.

C  vital signs.

D  fluid intake and output.

A  obtaining cardiac output with a pulmonary catheter

B  using mechanical ventilation

C  asking the client about comfort level

D  measuring intake and output

A  Observe for mist in the endotracheal tube.

B  Attach a pulse oximeter probe and obtain values.

C  Listen for breath sounds over the epigastrium.

D  Call for a chest x-ray.

A  Nitroglycerin

B  Morphine sulfate

C  Dopamine

D  Furosemide

A  Low-potassium diet

B  Low-sodium diet

C   Low-cholesterol diet

D  Low-fat 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 that he has been urinating less frequently at night.

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

A  dyspnea on exertion

B  chest pain

C  confusion

D  anxiety

A  II

B  I

C  III

D  IV

A   Afterload

B  Preload

C  Stroke volume

D   Ejection fraction

A  nausea and vomiting

B  Flexion contractures

C  Vasculitis

D  Enlargement of joints

A  Tension pneumothorax

B  Cardiac tamponade

C  Pulmonary embolism

D  Heart failure

A  A ventriculogram

B  A chest x-ray

C  An electrocardiogram

D  An echocardiogram

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  Decreased urinary output

B  Tachycardia

C  Dyspnea on exertion

D  Hypotension

A  Gradual unexplained weight gain

B  Increased urine output

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Ibuprofen

B  Digoxin immune FAB

C  Warfarin

D  Amlodipine

A  Dizziness

B  Tachycardia

C  Nocturia

D  Ascites

A  a murmur.

B  a first heart sound (S1).

C  a third heart sound (S3).

D  a fourth heart sound (S4).

A  Arterial blood gas (ABG) analysis

B   Lung sounds

C  Skin color assessment

D  Pulse oximetry

A  High blood pressure

B  Restlessness and confusion

C  Hyperactive bowel sounds

D  Increased urinary output

A  hyperpnea.

B  dyspnea upon exertion.

C  paroxysmal nocturnal dyspnea.

D  orthopnea.

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

B  “Are you coughing up blood at night?”

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

D  “Are you urinating excessively at night?”

A  Blood urea nitrogen (BUN)

B  Creatinine

C  Complete blood count (CBC)

D  Brain natriuretic peptide (BNP)