Chapter 29 Quiz

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

B  The client is going into cardiogenic shock.

C  The client is experiencing heart failure.

D  The client shows signs of aneurysm rupture.

A  Arterial blood gases

B  Pulse oximetry

C  End-tidal CO2

D  Listening to breath sounds

A  Pulmonary embolus

B  Ineffective right ventricular contraction

C  Myocardial ischemia

D  Cystic fibrosis

A  50%

B  40%

C  55%

D  45%

A  weight.

B  urine specific gravity.

C  vital signs.

D  fluid intake and output.

A  Assess the surgical incisional area.

B  Administer pain medication.

C  Titrate oxygen therapy.

D  Assess for jugular vein distention.

A  Administer the third sublingual nitroglycerin tablet.

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

C  Notify the health care provider of the chest pain.

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

A  Decrease in blood pressure

B  Increase in CVP

C  Decrease in central venous pressure (CVP)

D  Absence of cough

A  Decreased central venous pressure

B  Decreased mean pulmonary artery 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  vasodilation of skin

D  dehydration

A  application of antiembolytic stockings

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

C  increasing activity

D  sustained elevation of the client’s legs

A  air hunger

B  jugular vein distention

C  ascites

D  pitting edema of the legs

A  Supraventricular tachycardia

B  Sinus tachycardia

C  Atrial fibrillation

D  First-degree heart block

A  It increases afterload.

B   It increases preload.

C   It reduces ventricular ejection volume.

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 urea nitrogen levels.

D  Assess for elevated blood potassium levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s neck for distended veins.

C  Examine the client’s joints for crepitus.

D  Monitor the client for signs of lethargy or confusion.

A  Cardiogenic shock

B  Pulmonary hypertension

C  Progressive heart failure

D  Acute pulmonary edema

A   perform chest physiotherapy

B  have the client take deep breaths and cough

C  place the client in high Fowler’s position

D  administer oxygen

A  decreased left ventricular pumping

B  decreased right ventricular elasticity

C  increased left atrial contractility

D  increased right atrial resistance

A  decreased peripheral perfusion to the extremities

B  decreased right ventricular workload

C  decreased left ventricular workload

D  decreased renal perfusion

A  Limited activities of daily living (ADLs)

B  Pulmonary congestion

C  Low ejection fraction (EF)

D  Basilar crackles

A  Tissue hypoperfusion

B  Hyperactive bowel sounds

C  High blood pressure

D  Increased urinary output

A  Sleeping in a chair or recliner

B  Increased urine output

C  Gradual unexplained weight gain

D  Increased perspiration

A  Reduction in cardiac output

B  Accumulation of blood in the lungs

C  Reduction in forward flow

D  Systemic venous congestion

A  peripheral edema

B  skin rash

C  dry cough

D  postural hypotension

A  5%

B  55%

C  30%

D  65%

A  fatigue

B  nocturia

C  pedal edema

D  irregular pulse

A   furosemide

B  spironolactone

C  mannitol

D  metolazone

A  Ascites

B  Jugular vein distention

C  Pulmonary crackles

D  Dyspnea

E  Cough

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  Reduction in cardiac output

C  Accumulation of blood in the lungs

D  Reduction in forward flow

A  electrocardiogram

B  echocardiogram

C  cardiac ultrasound

D  cardiac catheterization

A  calcium level of 7.5 mg/dL

B  magnesium level of 2.5 mg/dL

C  potassium level of 2.8 mEq/L

D  sodium level of 152 mEq/L

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

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

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  blood pressure of 125/80

B  urine output of 300 mL in eight hours

C  heart rate of 55 beats per minute

D  atrial fibillation rhythm

A  metoprolol

B  Natrecor

C  captopril

D  enalapril

A  ascites

B  nocturia

C  inadequate cardiac output

D  hepatomegaly

A  decompensated heart failure with pulmonary edema.

B  tuberculosis.

C  bilateral pneumonia.

D   acute exacerbation of chronic obstructive pulmonary disease.

A  Blood urea nitrogen (BUN)

B  Serum electrolytes

C   Echocardiogram

D  Electrocardiogram (ECG)

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

B  No JVD is present.

C  JVD is noted 2 cm above the sternal angle.

D  JVD is noted 4 cm above the sternal angle.

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

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

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

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

A  taste and smell alterations.

B  visual disturbances.

C  dry mouth and urine retention.

D  nocturia and sleep 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  vital signs.

C  fluid intake and output.

D  urine specific gravity.

A  using mechanical ventilation

B  asking the client about comfort level

C  obtaining cardiac output with a pulmonary catheter

D  measuring intake and output

A  Attach a pulse oximeter probe and obtain values.

B  Listen for breath sounds over the epigastrium.

C  Call for a chest x-ray.

D  Observe for mist in the endotracheal tube.

A  Nitroglycerin

B  Dopamine

C  Morphine sulfate

D  Furosemide

A  Low-sodium diet

B  Low-potassium diet

C  Low-fat diet

D   Low-cholesterol diet

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

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

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

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

A  confusion

B  chest pain

C  anxiety

D  dyspnea on exertion

A  III

B  IV

C  I

D  II

A   Ejection fraction

B  Stroke volume

C   Afterload

D  Preload

A  Enlargement of joints

B  Vasculitis

C  nausea and vomiting

D  Flexion contractures

A  Heart failure

B  Tension pneumothorax

C  Pulmonary embolism

D  Cardiac tamponade

A  An electrocardiogram

B  An echocardiogram

C  A chest x-ray

D  A ventriculogram

A  Cough

B  Pulmonary crackles

C  Jugular vein distention (JVD)

D  Dyspnea

A  Vasculitis

B  Potassium levels

C  Flexion contractures

D  Enlargement of joints

A  Decreased urinary output

B  Tachycardia

C  Hypotension

D  Dyspnea on exertion

A  Gradual unexplained weight gain

B  Increased urine output

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Amlodipine

B  Warfarin

C  Ibuprofen

D  Digoxin immune FAB

A  Ascites

B  Tachycardia

C  Nocturia

D  Dizziness

A  a first heart sound (S1).

B  a third heart sound (S3).

C  a murmur.

D  a fourth heart sound (S4).

A   Lung sounds

B  Skin color assessment

C  Arterial blood gas (ABG) analysis

D  Pulse oximetry

A  Restlessness and confusion

B  Hyperactive bowel sounds

C  Increased urinary output

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 urinating excessively at night?”

C  “Are you coughing up blood at night?”

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

A  Blood urea nitrogen (BUN)

B  Complete blood count (CBC)

C  Brain natriuretic peptide (BNP)

D  Creatinine