Chapter 29 Quiz

A  The client is going into cardiogenic shock.

B  The client shows signs of aneurysm rupture.

C  The client is experiencing heart failure.

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

A  End-tidal CO2

B  Pulse oximetry

C  Arterial blood gases

D  Listening to breath sounds

A  Cystic fibrosis

B  Ineffective right ventricular contraction

C  Myocardial ischemia

D  Pulmonary embolus

A  45%

B  50%

C  40%

D  55%

A  urine specific gravity.

B  weight.

C  fluid intake and output.

D  vital signs.

A  Titrate oxygen therapy.

B  Assess for jugular vein distention.

C  Administer pain medication.

D  Assess the surgical incisional area.

A  Notify the health care provider of the chest pain.

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

C  Administer the third sublingual nitroglycerin tablet.

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

A  Decrease in blood pressure

B  Decrease in central venous pressure (CVP)

C  Increase in CVP

D  Absence of cough

A  Decreased mean pulmonary artery pressure

B  Increase in the cardiac index

C  Increased pulmonary artery diastolic pressure

D  Decreased central venous pressure

A  decrease in renal perfusion

B  increased blood volume ejected from ventricle

C  vasodilation of skin

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  jugular vein distention

B  air hunger

C  pitting edema of the legs

D  ascites

A  Supraventricular tachycardia

B  Atrial fibrillation

C  Sinus tachycardia

D  First-degree heart block

A   It reduces ventricular ejection volume.

B  It causes a loss of elasticity in the myocardium.

C   It increases preload.

D  It increases afterload.

A  Assess for reduced blood sodium levels.

B  Assess for elevated blood potassium levels.

C  Assess for elevated blood urea nitrogen levels.

D  Assess for reduced urine output.

A  Examine the client’s joints for crepitus.

B  Examine the client’s neck for distended veins.

C  Examine the client’s eyes for excess tears.

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   perform chest physiotherapy

B  administer oxygen

C  have the client take deep breaths and cough

D  place the client in high Fowler’s position

A  decreased right ventricular elasticity

B  decreased left ventricular pumping

C  increased right atrial resistance

D  increased left atrial contractility

A  decreased right ventricular workload

B  decreased renal perfusion

C  decreased left ventricular workload

D  decreased peripheral perfusion to the extremities

A  Basilar crackles

B  Limited activities of daily living (ADLs)

C  Pulmonary congestion

D  Low ejection fraction (EF)

A  Increased urinary output

B  Hyperactive bowel sounds

C  Tissue hypoperfusion

D  High blood pressure

A  Gradual unexplained weight gain

B  Sleeping in a chair or recliner

C  Increased urine output

D  Increased perspiration

A  Accumulation of blood in the lungs

B  Systemic venous congestion

C  Reduction in forward flow

D  Reduction in cardiac output

A  dry cough

B  skin rash

C  postural hypotension

D  peripheral edema

A  55%

B  5%

C  65%

D  30%

A  fatigue

B  pedal edema

C  nocturia

D  irregular pulse

A  spironolactone

B  metolazone

C   furosemide

D  mannitol

A  Ascites

B  Cough

C  Jugular vein distention

D  Dyspnea

E  Pulmonary crackles

A  4.0 mg/mL

B  0.25 mg/mL

C  3.2 mg/mL

D  2.0 mg/mL

A  Reduction in forward flow

B  Congestion in the peripheral tissues

C  Reduction in cardiac output

D  Accumulation of blood in the lungs

A  cardiac ultrasound

B  echocardiogram

C  cardiac catheterization

D  electrocardiogram

A  magnesium level of 2.5 mg/dL

B  potassium level of 2.8 mEq/L

C  calcium level of 7.5 mg/dL

D  sodium level of 152 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  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  heart rate of 55 beats per minute

B  atrial fibillation rhythm

C  blood pressure of 125/80

D  urine output of 300 mL in eight hours

A  metoprolol

B  captopril

C  enalapril

D  Natrecor

A  ascites

B  hepatomegaly

C  inadequate cardiac output

D  nocturia

A  bilateral pneumonia.

B  tuberculosis.

C  decompensated heart failure with pulmonary edema.

D   acute exacerbation of chronic obstructive pulmonary disease.

A  Blood urea nitrogen (BUN)

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Serum electrolytes

A  JVD is noted 4 cm above the sternal angle.

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

C  JVD is noted 2 cm above the sternal angle.

D  No JVD is present.

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

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

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

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

A  dry mouth and urine retention.

B  nocturia and sleep disturbances.

C  visual disturbances.

D  taste and smell alterations.

A  Measuring and recording fluid intake and output

B  Weighing the client daily at the same time each day

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

D  Assessing the client’s vital signs every 4 hours

A  fluid intake and output.

B  vital signs.

C  urine specific gravity.

D  weight.

A  obtaining cardiac output with a pulmonary catheter

B  asking the client about comfort level

C  measuring intake and output

D  using mechanical ventilation

A  Call for a chest x-ray.

B  Listen for breath sounds over the epigastrium.

C  Observe for mist in the endotracheal tube.

D  Attach a pulse oximeter probe and obtain values.

A  Nitroglycerin

B  Dopamine

C  Morphine sulfate

D  Furosemide

A  Low-potassium diet

B  Low-sodium diet

C  Low-fat diet

D   Low-cholesterol diet

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

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

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

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

A  dyspnea on exertion

B  confusion

C  anxiety

D  chest pain

A  I

B  III

C  IV

D  II

A  Preload

B   Ejection fraction

C   Afterload

D  Stroke volume

A  Vasculitis

B  Flexion contractures

C  nausea and vomiting

D  Enlargement of joints

A  Pulmonary embolism

B  Heart failure

C  Cardiac tamponade

D  Tension pneumothorax

A  An electrocardiogram

B  A ventriculogram

C  A chest x-ray

D  An echocardiogram

A  Jugular vein distention (JVD)

B  Pulmonary crackles

C  Cough

D  Dyspnea

A  Enlargement of joints

B  Flexion contractures

C  Vasculitis

D  Potassium levels

A  Hypotension

B  Decreased urinary output

C  Dyspnea on exertion

D  Tachycardia

A  Gradual unexplained weight gain

B  Increased urine output

C  Sleeping in a chair or recliner

D  Increased perspiration

A  Digoxin immune FAB

B  Amlodipine

C  Ibuprofen

D  Warfarin

A  Dizziness

B  Tachycardia

C  Ascites

D  Nocturia

A  a third heart sound (S3).

B  a first heart sound (S1).

C  a murmur.

D  a fourth heart sound (S4).

A   Lung sounds

B  Skin color assessment

C  Pulse oximetry

D  Arterial blood gas (ABG) analysis

A  Increased urinary output

B  High blood pressure

C  Restlessness and confusion

D  Hyperactive bowel sounds

A  hyperpnea.

B  dyspnea upon exertion.

C  orthopnea.

D  paroxysmal nocturnal dyspnea.

A  “Are you coughing up blood at night?”

B  “Are you urinating excessively at night?”

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

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

A  Blood urea nitrogen (BUN)

B  Creatinine

C  Complete blood count (CBC)

D  Brain natriuretic peptide (BNP)