Chapter 29 Quiz

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

B  The client is experiencing 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  End-tidal CO2

D  Arterial blood gases

A  Myocardial ischemia

B  Pulmonary embolus

C  Cystic fibrosis

D  Ineffective right ventricular contraction

A  40%

B  55%

C  50%

D  45%

A  fluid intake and output.

B  weight.

C  urine specific gravity.

D  vital signs.

A  Titrate oxygen therapy.

B  Administer pain medication.

C  Assess for jugular vein distention.

D  Assess the surgical incisional area.

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  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  Increase in the cardiac index

D  Decreased central venous pressure

A  vasodilation of skin

B  dehydration

C  increased blood volume ejected from ventricle

D  decrease in renal perfusion

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

B  sustained elevation of the client’s legs

C  application of antiembolytic stockings

D  increasing activity

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 increases preload.

B  It increases afterload.

C   It reduces ventricular ejection volume.

D  It causes a loss of elasticity in the myocardium.

A  Assess for reduced blood sodium levels.

B  Assess for elevated blood potassium levels.

C  Assess for reduced urine output.

D  Assess for elevated blood urea nitrogen 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 eyes for excess tears.

D  Examine the client’s joints for crepitus.

A  Acute pulmonary edema

B  Progressive heart failure

C  Cardiogenic shock

D  Pulmonary hypertension

A  place the client in high Fowler’s position

B   perform chest physiotherapy

C  administer oxygen

D  have the client take deep breaths and cough

A  decreased left ventricular pumping

B  decreased right ventricular elasticity

C  increased left atrial contractility

D  increased right atrial resistance

A  decreased right ventricular workload

B  decreased left ventricular workload

C  decreased peripheral perfusion to the extremities

D  decreased renal perfusion

A  Basilar crackles

B  Limited activities of daily living (ADLs)

C  Pulmonary congestion

D  Low ejection fraction (EF)

A  Tissue hypoperfusion

B  High blood pressure

C  Increased urinary output

D  Hyperactive bowel sounds

A  Increased urine output

B  Sleeping in a chair or recliner

C  Gradual unexplained weight gain

D  Increased perspiration

A  Reduction in forward flow

B  Reduction in cardiac output

C  Accumulation of blood in the lungs

D  Systemic venous congestion

A  peripheral edema

B  dry cough

C  skin rash

D  postural hypotension

A  65%

B  55%

C  30%

D  5%

A  irregular pulse

B  nocturia

C  fatigue

D  pedal edema

A  metolazone

B  mannitol

C  spironolactone

D   furosemide

A  Jugular vein distention

B  Pulmonary crackles

C  Cough

D  Ascites

E  Dyspnea

A  4.0 mg/mL

B  0.25 mg/mL

C  2.0 mg/mL

D  3.2 mg/mL

A  Reduction in forward flow

B  Accumulation of blood in the lungs

C  Reduction in cardiac output

D  Congestion in the peripheral tissues

A  electrocardiogram

B  cardiac ultrasound

C  echocardiogram

D  cardiac catheterization

A  sodium level of 152 mEq/L

B  calcium level of 7.5 mg/dL

C  potassium level of 2.8 mEq/L

D  magnesium level of 2.5 mg/dL

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

B   A depression of more than 1 cm when the thumb is released from the swollen area; severe 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  blood pressure of 125/80

B  urine output of 300 mL in eight hours

C  atrial fibillation rhythm

D  heart rate of 55 beats per minute

A  metoprolol

B  captopril

C  Natrecor

D  enalapril

A  ascites

B  nocturia

C  hepatomegaly

D  inadequate cardiac output

A  bilateral pneumonia.

B  decompensated heart failure with pulmonary edema.

C   acute exacerbation of chronic obstructive pulmonary disease.

D  tuberculosis.

A  Serum electrolytes

B  Electrocardiogram (ECG)

C   Echocardiogram

D  Blood urea nitrogen (BUN)

A  No JVD is present.

B  JVD is noted 4 cm above the sternal angle.

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  visual disturbances.

B  nocturia and sleep disturbances.

C  dry mouth and urine retention.

D  taste and smell alterations.

A  Measuring and recording fluid intake and output

B  Assessing the client’s vital signs every 4 hours

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  measuring intake and output

B  asking the client about comfort level

C  obtaining cardiac output with a pulmonary catheter

D  using mechanical ventilation

A  Observe for mist in the endotracheal tube.

B  Call for a chest x-ray.

C  Attach a pulse oximeter probe and obtain values.

D  Listen for breath sounds over the epigastrium.

A  Furosemide

B  Dopamine

C  Morphine sulfate

D  Nitroglycerin

A   Low-cholesterol diet

B  Low-sodium diet

C  Low-fat diet

D  Low-potassium 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  confusion

B  dyspnea on exertion

C  anxiety

D  chest pain

A  III

B  IV

C  I

D  II

A   Afterload

B  Preload

C   Ejection fraction

D  Stroke volume

A  Vasculitis

B  Enlargement of joints

C  Flexion contractures

D  nausea and vomiting

A  Tension pneumothorax

B  Pulmonary embolism

C  Cardiac tamponade

D  Heart failure

A  A chest x-ray

B  A ventriculogram

C  An electrocardiogram

D  An echocardiogram

A  Dyspnea

B  Pulmonary crackles

C  Jugular vein distention (JVD)

D  Cough

A  Flexion contractures

B  Enlargement of joints

C  Potassium levels

D  Vasculitis

A  Hypotension

B  Tachycardia

C  Decreased urinary output

D  Dyspnea on exertion

A  Increased urine output

B  Gradual unexplained weight gain

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Warfarin

B  Ibuprofen

C  Digoxin immune FAB

D  Amlodipine

A  Ascites

B  Nocturia

C  Tachycardia

D  Dizziness

A  a murmur.

B  a fourth heart sound (S4).

C  a third heart sound (S3).

D  a first heart sound (S1).

A   Lung sounds

B  Pulse oximetry

C  Skin color assessment

D  Arterial blood gas (ABG) analysis

A  Hyperactive bowel sounds

B  High blood pressure

C  Increased urinary output

D  Restlessness and confusion

A  paroxysmal nocturnal dyspnea.

B  hyperpnea.

C  dyspnea upon exertion.

D  orthopnea.

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

B  “Are you urinating excessively at night?”

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

D  “Are you coughing up blood at night?”

A  Complete blood count (CBC)

B  Blood urea nitrogen (BUN)

C  Creatinine

D  Brain natriuretic peptide (BNP)