Chapter 29 Quiz

A  The client shows signs of aneurysm rupture.

B  The client is going into cardiogenic shock.

C  The client is experiencing heart failure.

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

A  Listening to breath sounds

B  End-tidal CO2

C  Pulse oximetry

D  Arterial blood gases

A  Ineffective right ventricular contraction

B  Cystic fibrosis

C  Myocardial ischemia

D  Pulmonary embolus

A  40%

B  50%

C  55%

D  45%

A  urine specific gravity.

B  weight.

C  fluid intake and output.

D  vital signs.

A  Assess the surgical incisional area.

B  Administer pain medication.

C  Titrate oxygen therapy.

D  Assess for jugular vein distention.

A  Notify the health care provider of the chest pain.

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

C  Administer the third sublingual nitroglycerin tablet.

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

A  Absence of cough

B  Decrease in blood pressure

C  Decrease in central venous pressure (CVP)

D  Increase in CVP

A  Decreased mean pulmonary artery pressure

B  Increased pulmonary artery diastolic pressure

C  Decreased central venous pressure

D  Increase in the cardiac index

A  vasodilation of skin

B  increased blood volume ejected from ventricle

C  decrease in renal perfusion

D  dehydration

A  application of antiembolytic stockings

B  sustained elevation of the client’s legs

C  increasing activity

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

A  air hunger

B  pitting edema of the legs

C  ascites

D  jugular vein distention

A  First-degree heart block

B  Atrial fibrillation

C  Supraventricular tachycardia

D  Sinus tachycardia

A  It increases afterload.

B   It increases preload.

C  It causes a loss of elasticity in the myocardium.

D   It reduces ventricular ejection volume.

A  Assess for elevated blood urea nitrogen levels.

B  Assess for reduced blood sodium levels.

C  Assess for elevated blood potassium levels.

D  Assess for reduced urine output.

A  Examine the client’s joints for crepitus.

B  Examine the client’s eyes for excess tears.

C  Examine the client’s neck for distended veins.

D  Monitor the client for signs of lethargy or confusion.

A  Acute pulmonary edema

B  Cardiogenic shock

C  Progressive heart failure

D  Pulmonary hypertension

A  administer oxygen

B   perform chest physiotherapy

C  place the client in high Fowler’s position

D  have the client take deep breaths and cough

A  decreased right ventricular elasticity

B  decreased left ventricular pumping

C  increased right atrial resistance

D  increased left atrial contractility

A  decreased renal perfusion

B  decreased left ventricular workload

C  decreased right ventricular workload

D  decreased peripheral perfusion to the extremities

A  Low ejection fraction (EF)

B  Pulmonary congestion

C  Limited activities of daily living (ADLs)

D  Basilar crackles

A  High blood pressure

B  Tissue hypoperfusion

C  Increased urinary output

D  Hyperactive bowel sounds

A  Increased perspiration

B  Increased urine output

C  Sleeping in a chair or recliner

D  Gradual unexplained weight gain

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Reduction in forward flow

D  Systemic venous congestion

A  peripheral edema

B  postural hypotension

C  dry cough

D  skin rash

A  65%

B  5%

C  30%

D  55%

A  nocturia

B  fatigue

C  pedal edema

D  irregular pulse

A   furosemide

B  mannitol

C  metolazone

D  spironolactone

A  Pulmonary crackles

B  Dyspnea

C  Ascites

D  Jugular vein distention

E  Cough

A  3.2 mg/mL

B  0.25 mg/mL

C  2.0 mg/mL

D  4.0 mg/mL

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Congestion in the peripheral tissues

D  Reduction in forward flow

A  cardiac ultrasound

B  electrocardiogram

C  echocardiogram

D  cardiac catheterization

A  sodium level of 152 mEq/L

B  potassium level of 2.8 mEq/L

C  magnesium level of 2.5 mg/dL

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

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

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

A  urine output of 300 mL in eight hours

B  heart rate of 55 beats per minute

C  atrial fibillation rhythm

D  blood pressure of 125/80

A  enalapril

B  Natrecor

C  metoprolol

D  captopril

A  nocturia

B  inadequate cardiac output

C  ascites

D  hepatomegaly

A  bilateral pneumonia.

B  decompensated heart failure with pulmonary edema.

C   acute exacerbation of chronic obstructive pulmonary disease.

D  tuberculosis.

A  Electrocardiogram (ECG)

B  Blood urea nitrogen (BUN)

C   Echocardiogram

D  Serum electrolytes

A  JVD is noted 4 cm above the sternal angle.

B  No JVD is present.

C  JVD is noted 2 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  The pericardial space is eliminated with scar tissue and thickened pericardium.

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

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

A  taste and smell alterations.

B  visual disturbances.

C  nocturia and sleep disturbances.

D  dry mouth and urine retention.

A  Measuring and recording fluid intake and output

B  Assessing the client’s vital signs every 4 hours

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

D  Weighing the client daily at the same time each day

A  fluid intake and output.

B  weight.

C  vital signs.

D  urine specific gravity.

A  measuring intake and output

B  using mechanical ventilation

C  obtaining cardiac output with a pulmonary catheter

D  asking the client about comfort level

A  Listen for breath sounds over the epigastrium.

B  Call for a chest x-ray.

C  Attach a pulse oximeter probe and obtain values.

D  Observe for mist in the endotracheal tube.

A  Furosemide

B  Morphine sulfate

C  Nitroglycerin

D  Dopamine

A   Low-cholesterol diet

B  Low-sodium diet

C  Low-fat diet

D  Low-potassium diet

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

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 his rings have become tight and are difficult to remove.

A  dyspnea on exertion

B  chest pain

C  confusion

D  anxiety

A  III

B  IV

C  II

D  I

A   Afterload

B   Ejection fraction

C  Stroke volume

D  Preload

A  Flexion contractures

B  Vasculitis

C  nausea and vomiting

D  Enlargement of joints

A  Heart failure

B  Tension pneumothorax

C  Cardiac tamponade

D  Pulmonary embolism

A  A ventriculogram

B  An electrocardiogram

C  An echocardiogram

D  A chest x-ray

A  Pulmonary crackles

B  Dyspnea

C  Cough

D  Jugular vein distention (JVD)

A  Flexion contractures

B  Vasculitis

C  Enlargement of joints

D  Potassium levels

A  Tachycardia

B  Decreased urinary output

C  Hypotension

D  Dyspnea on exertion

A  Increased urine output

B  Increased perspiration

C  Gradual unexplained weight gain

D  Sleeping in a chair or recliner

A  Amlodipine

B  Ibuprofen

C  Digoxin immune FAB

D  Warfarin

A  Tachycardia

B  Nocturia

C  Dizziness

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  Pulse oximetry

C   Lung sounds

D  Skin color assessment

A  Hyperactive bowel sounds

B  Increased urinary output

C  Restlessness and confusion

D  High blood pressure

A  orthopnea.

B  hyperpnea.

C  dyspnea upon exertion.

D  paroxysmal nocturnal dyspnea.

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  Brain natriuretic peptide (BNP)

B  Creatinine

C  Blood urea nitrogen (BUN)

D  Complete blood count (CBC)