Chapter 29 Quiz

A  The client is experiencing heart failure.

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

C  The client shows signs of aneurysm rupture.

D  The client is going into cardiogenic shock.

A  Listening to breath sounds

B  Pulse oximetry

C  Arterial blood gases

D  End-tidal CO2

A  Ineffective right ventricular contraction

B  Myocardial ischemia

C  Cystic fibrosis

D  Pulmonary embolus

A  40%

B  45%

C  50%

D  55%

A  fluid intake and output.

B  weight.

C  vital signs.

D  urine specific gravity.

A  Administer pain medication.

B  Titrate oxygen therapy.

C  Assess for jugular vein distention.

D  Assess the surgical incisional area.

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

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

C  Administer the third sublingual nitroglycerin tablet.

D  Notify the health care provider of the chest pain.

A  Absence of cough

B  Decrease in central venous pressure (CVP)

C  Increase in CVP

D  Decrease in blood pressure

A  Decreased mean pulmonary artery pressure

B  Increased pulmonary artery diastolic pressure

C  Increase in the cardiac index

D  Decreased central venous pressure

A  decrease in renal perfusion

B  vasodilation of skin

C  dehydration

D  increased blood volume ejected from ventricle

A  increasing activity

B  sustained elevation of the client’s legs

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

D  application of antiembolytic stockings

A  air hunger

B  ascites

C  pitting edema of the legs

D  jugular vein distention

A  Atrial fibrillation

B  Sinus tachycardia

C  First-degree heart block

D  Supraventricular tachycardia

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 reduced urine output.

B  Assess for reduced blood sodium levels.

C  Assess for elevated blood potassium levels.

D  Assess for elevated blood urea nitrogen levels.

A  Examine the client’s eyes for excess tears.

B  Monitor the client for signs of lethargy or confusion.

C  Examine the client’s neck for distended veins.

D  Examine the client’s joints for crepitus.

A  Progressive heart failure

B  Cardiogenic shock

C  Acute pulmonary edema

D  Pulmonary hypertension

A  administer oxygen

B  have the client take deep breaths and cough

C   perform chest physiotherapy

D  place the client in high Fowler’s position

A  decreased right ventricular elasticity

B  increased left atrial contractility

C  decreased left ventricular pumping

D  increased right atrial resistance

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  Limited activities of daily living (ADLs)

C  Low ejection fraction (EF)

D  Pulmonary congestion

A  Increased urinary output

B  Tissue hypoperfusion

C  Hyperactive bowel sounds

D  High blood pressure

A  Increased urine output

B  Increased perspiration

C  Sleeping in a chair or recliner

D  Gradual unexplained weight gain

A  Reduction in forward flow

B  Accumulation of blood in the lungs

C  Reduction in cardiac output

D  Systemic venous congestion

A  skin rash

B  postural hypotension

C  peripheral edema

D  dry cough

A  30%

B  65%

C  5%

D  55%

A  nocturia

B  pedal edema

C  fatigue

D  irregular pulse

A   furosemide

B  mannitol

C  spironolactone

D  metolazone

A  Cough

B  Dyspnea

C  Pulmonary crackles

D  Ascites

E  Jugular vein distention

A  3.2 mg/mL

B  2.0 mg/mL

C  0.25 mg/mL

D  4.0 mg/mL

A  Reduction in cardiac output

B  Congestion in the peripheral tissues

C  Accumulation of blood in the lungs

D  Reduction in forward flow

A  echocardiogram

B  cardiac catheterization

C  cardiac ultrasound

D  electrocardiogram

A  potassium level of 2.8 mEq/L

B  magnesium level of 2.5 mg/dL

C  sodium level of 152 mEq/L

D  calcium level of 7.5 mg/dL

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

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

C  A 5- to 10-mm depression when the thumb is released from the swollen area; 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  atrial fibillation rhythm

C  blood pressure of 125/80

D  heart rate of 55 beats per minute

A  Natrecor

B  metoprolol

C  enalapril

D  captopril

A  ascites

B  nocturia

C  hepatomegaly

D  inadequate cardiac output

A  decompensated heart failure with pulmonary edema.

B  tuberculosis.

C  bilateral pneumonia.

D   acute exacerbation of chronic obstructive pulmonary disease.

A   Echocardiogram

B  Blood urea nitrogen (BUN)

C  Serum electrolytes

D  Electrocardiogram (ECG)

A  JVD is noted 4 cm above the sternal angle.

B  No JVD is present.

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

D  JVD is noted 2 cm above the sternal angle.

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

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

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

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

A  taste and smell alterations.

B  nocturia and sleep disturbances.

C  dry mouth and urine retention.

D  visual disturbances.

A  Assessing the client’s vital signs every 4 hours

B  Measuring and recording fluid intake and output

C  Weighing the client daily at the same time each day

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

A  fluid intake and output.

B  weight.

C  urine specific gravity.

D  vital signs.

A  obtaining cardiac output with a pulmonary catheter

B  measuring intake and output

C  using mechanical ventilation

D  asking the client about comfort level

A  Call for a chest x-ray.

B  Attach a pulse oximeter probe and obtain values.

C  Listen for breath sounds over the epigastrium.

D  Observe for mist in the endotracheal tube.

A  Nitroglycerin

B  Morphine sulfate

C  Dopamine

D  Furosemide

A  Low-potassium diet

B   Low-cholesterol diet

C  Low-fat diet

D  Low-sodium diet

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

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

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

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

A  confusion

B  dyspnea on exertion

C  anxiety

D  chest pain

A  I

B  II

C  III

D  IV

A  Stroke volume

B   Afterload

C  Preload

D   Ejection fraction

A  Vasculitis

B  Flexion contractures

C  Enlargement of joints

D  nausea and vomiting

A  Pulmonary embolism

B  Tension pneumothorax

C  Cardiac tamponade

D  Heart failure

A  A chest x-ray

B  A ventriculogram

C  An electrocardiogram

D  An echocardiogram

A  Jugular vein distention (JVD)

B  Cough

C  Dyspnea

D  Pulmonary crackles

A  Vasculitis

B  Flexion contractures

C  Enlargement of joints

D  Potassium levels

A  Dyspnea on exertion

B  Tachycardia

C  Hypotension

D  Decreased urinary output

A  Gradual unexplained weight gain

B  Sleeping in a chair or recliner

C  Increased urine output

D  Increased perspiration

A  Digoxin immune FAB

B  Ibuprofen

C  Amlodipine

D  Warfarin

A  Dizziness

B  Nocturia

C  Tachycardia

D  Ascites

A  a third heart sound (S3).

B  a first heart sound (S1).

C  a fourth heart sound (S4).

D  a murmur.

A  Arterial blood gas (ABG) analysis

B  Pulse oximetry

C  Skin color assessment

D   Lung sounds

A  Hyperactive bowel sounds

B  Restlessness and confusion

C  Increased urinary output

D  High blood pressure

A  dyspnea upon exertion.

B  paroxysmal nocturnal dyspnea.

C  orthopnea.

D  hyperpnea.

A  “Are you urinating excessively at night?”

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

C  “Are you coughing up blood at night?”

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

A  Creatinine

B  Blood urea nitrogen (BUN)

C  Brain natriuretic peptide (BNP)

D  Complete blood count (CBC)