Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client shows signs of aneurysm rupture.

C  The client is going into cardiogenic shock.

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

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  vital signs.

B  fluid intake and output.

C  urine specific gravity.

D  weight.

A  Administer pain medication.

B  Assess the surgical incisional area.

C  Assess for jugular vein distention.

D  Titrate oxygen therapy.

A  Administer the third sublingual nitroglycerin tablet.

B  Notify the health care provider of the chest pain.

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

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

A  Increase in CVP

B  Absence of cough

C  Decrease in blood pressure

D  Decrease in central venous pressure (CVP)

A  Decreased central venous pressure

B  Decreased mean pulmonary artery pressure

C  Increased pulmonary artery diastolic pressure

D  Increase in the cardiac index

A  dehydration

B  decrease in renal perfusion

C  vasodilation of skin

D  increased blood volume ejected from ventricle

A  increasing activity

B  sustained elevation of the client’s legs

C  application of antiembolytic stockings

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

A  air hunger

B  ascites

C  pitting edema of the legs

D  jugular vein distention

A  Atrial fibrillation

B  First-degree heart block

C  Supraventricular tachycardia

D  Sinus tachycardia

A   It reduces ventricular ejection volume.

B  It increases afterload.

C  It causes a loss of elasticity in the myocardium.

D   It increases preload.

A  Assess for reduced blood sodium levels.

B  Assess for reduced urine output.

C  Assess for elevated blood potassium levels.

D  Assess for elevated blood urea nitrogen levels.

A  Examine the client’s neck for distended veins.

B  Examine the client’s eyes for excess tears.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s joints for crepitus.

A  Cardiogenic shock

B  Progressive heart failure

C  Pulmonary hypertension

D  Acute pulmonary edema

A  have the client take deep breaths and cough

B  place the client in high Fowler’s position

C  administer oxygen

D   perform chest physiotherapy

A  increased left atrial contractility

B  decreased left ventricular pumping

C  decreased right ventricular elasticity

D  increased right atrial resistance

A  decreased right ventricular workload

B  decreased renal perfusion

C  decreased peripheral perfusion to the extremities

D  decreased left ventricular workload

A  Pulmonary congestion

B  Limited activities of daily living (ADLs)

C  Low ejection fraction (EF)

D  Basilar crackles

A  Tissue hypoperfusion

B  Hyperactive bowel sounds

C  Increased urinary output

D  High blood pressure

A  Increased urine output

B  Increased perspiration

C  Sleeping in a chair or recliner

D  Gradual unexplained weight gain

A  Accumulation of blood in the lungs

B  Systemic venous congestion

C  Reduction in forward flow

D  Reduction in cardiac output

A  postural hypotension

B  dry cough

C  peripheral edema

D  skin rash

A  55%

B  65%

C  30%

D  5%

A  nocturia

B  pedal edema

C  irregular pulse

D  fatigue

A  spironolactone

B  mannitol

C  metolazone

D   furosemide

A  Dyspnea

B  Jugular vein distention

C  Pulmonary crackles

D  Cough

E  Ascites

A  2.0 mg/mL

B  0.25 mg/mL

C  3.2 mg/mL

D  4.0 mg/mL

A  Accumulation of blood in the lungs

B  Reduction in forward flow

C  Reduction in cardiac output

D  Congestion in the peripheral tissues

A  echocardiogram

B  electrocardiogram

C  cardiac ultrasound

D  cardiac catheterization

A  calcium level of 7.5 mg/dL

B  sodium level of 152 mEq/L

C  magnesium level of 2.5 mg/dL

D  potassium level of 2.8 mEq/L

A  A 5- to 10-mm depression when the thumb is released from the swollen area; 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   A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling

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

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  Natrecor

B  captopril

C  enalapril

D  metoprolol

A  hepatomegaly

B  ascites

C  nocturia

D  inadequate cardiac output

A  decompensated heart failure with pulmonary edema.

B   acute exacerbation of chronic obstructive pulmonary disease.

C  tuberculosis.

D  bilateral pneumonia.

A  Serum electrolytes

B   Echocardiogram

C  Blood urea nitrogen (BUN)

D  Electrocardiogram (ECG)

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

B  JVD is noted 4 cm above the sternal angle.

C  No JVD is present.

D  JVD is noted 2 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  dry mouth and urine retention.

B  taste and smell alterations.

C  nocturia and sleep disturbances.

D  visual disturbances.

A  Weighing the client daily at the same time each day

B  Measuring and recording fluid intake and output

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  weight.

D  urine specific gravity.

A  using mechanical ventilation

B  measuring intake and output

C  asking the client about comfort level

D  obtaining cardiac output with a pulmonary catheter

A  Attach a pulse oximeter probe and obtain values.

B  Call for a chest x-ray.

C  Observe for mist in the endotracheal tube.

D  Listen for breath sounds over the epigastrium.

A  Nitroglycerin

B  Furosemide

C  Morphine sulfate

D  Dopamine

A  Low-fat diet

B  Low-sodium diet

C   Low-cholesterol diet

D  Low-potassium diet

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

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

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

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

A  confusion

B  anxiety

C  chest pain

D  dyspnea on exertion

A  II

B  I

C  IV

D  III

A   Afterload

B  Preload

C   Ejection fraction

D  Stroke volume

A  Vasculitis

B  Enlargement of joints

C  nausea and vomiting

D  Flexion contractures

A  Pulmonary embolism

B  Cardiac tamponade

C  Heart failure

D  Tension pneumothorax

A  A chest x-ray

B  A ventriculogram

C  An echocardiogram

D  An electrocardiogram

A  Jugular vein distention (JVD)

B  Pulmonary crackles

C  Dyspnea

D  Cough

A  Enlargement of joints

B  Flexion contractures

C  Potassium levels

D  Vasculitis

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  Warfarin

C  Ibuprofen

D  Amlodipine

A  Tachycardia

B  Nocturia

C  Ascites

D  Dizziness

A  a fourth heart sound (S4).

B  a first heart sound (S1).

C  a murmur.

D  a third heart sound (S3).

A  Skin color assessment

B  Pulse oximetry

C  Arterial blood gas (ABG) analysis

D   Lung sounds

A  High blood pressure

B  Increased urinary output

C  Restlessness and confusion

D  Hyperactive bowel sounds

A  orthopnea.

B  hyperpnea.

C  paroxysmal nocturnal dyspnea.

D  dyspnea upon exertion.

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

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

C  “Are you coughing up blood at night?”

D  “Are you urinating excessively at night?”

A  Blood urea nitrogen (BUN)

B  Complete blood count (CBC)

C  Brain natriuretic peptide (BNP)

D  Creatinine