Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client is going into cardiogenic shock.

C  The client shows signs of aneurysm rupture.

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

A  Arterial blood gases

B  Listening to breath sounds

C  Pulse oximetry

D  End-tidal CO2

A  Myocardial ischemia

B  Cystic fibrosis

C  Ineffective right ventricular contraction

D  Pulmonary embolus

A  45%

B  40%

C  55%

D  50%

A  vital signs.

B  weight.

C  urine specific gravity.

D  fluid intake and output.

A  Assess for jugular vein distention.

B  Titrate oxygen therapy.

C  Assess the surgical incisional area.

D  Administer pain medication.

A  Notify the health care provider of the chest pain.

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

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

D  Administer the third sublingual nitroglycerin tablet.

A  Decrease in central venous pressure (CVP)

B  Decrease in blood pressure

C  Increase in CVP

D  Absence of cough

A  Decreased mean pulmonary artery pressure

B  Decreased central venous pressure

C  Increased pulmonary artery diastolic pressure

D  Increase in the cardiac index

A  increased blood volume ejected from ventricle

B  vasodilation of skin

C  dehydration

D  decrease in renal perfusion

A  sustained elevation of the client’s legs

B  increasing activity

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

D  application of antiembolytic stockings

A  ascites

B  pitting edema of the legs

C  air hunger

D  jugular vein distention

A  First-degree heart block

B  Atrial fibrillation

C  Sinus tachycardia

D  Supraventricular tachycardia

A   It reduces ventricular ejection volume.

B  It causes a loss of elasticity in the myocardium.

C  It increases afterload.

D   It increases preload.

A  Assess for reduced urine output.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for elevated blood potassium levels.

D  Assess for reduced blood sodium levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s joints for crepitus.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s neck for distended veins.

A  Progressive heart failure

B  Pulmonary hypertension

C  Acute pulmonary edema

D  Cardiogenic shock

A   perform chest physiotherapy

B  have the client take deep breaths and cough

C  administer oxygen

D  place the client in high Fowler’s position

A  increased left atrial contractility

B  increased right atrial resistance

C  decreased right ventricular elasticity

D  decreased left ventricular pumping

A  decreased renal perfusion

B  decreased right ventricular workload

C  decreased peripheral perfusion to the extremities

D  decreased left ventricular workload

A  Basilar crackles

B  Low ejection fraction (EF)

C  Pulmonary congestion

D  Limited activities of daily living (ADLs)

A  Hyperactive bowel sounds

B  High blood pressure

C  Tissue hypoperfusion

D  Increased urinary output

A  Increased perspiration

B  Gradual unexplained weight gain

C  Increased urine output

D  Sleeping in a chair or recliner

A  Reduction in forward flow

B  Systemic venous congestion

C  Reduction in cardiac output

D  Accumulation of blood in the lungs

A  postural hypotension

B  skin rash

C  peripheral edema

D  dry cough

A  65%

B  30%

C  55%

D  5%

A  pedal edema

B  nocturia

C  irregular pulse

D  fatigue

A  metolazone

B  mannitol

C   furosemide

D  spironolactone

A  Jugular vein distention

B  Pulmonary crackles

C  Ascites

D  Cough

E  Dyspnea

A  0.25 mg/mL

B  4.0 mg/mL

C  3.2 mg/mL

D  2.0 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  electrocardiogram

B  cardiac ultrasound

C  cardiac catheterization

D  echocardiogram

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 depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling

B  A 5- to 10-mm depression when the thumb is released from the swollen area; 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  heart rate of 55 beats per minute

B  blood pressure of 125/80

C  urine output of 300 mL in eight hours

D  atrial fibillation rhythm

A  metoprolol

B  enalapril

C  captopril

D  Natrecor

A  hepatomegaly

B  ascites

C  nocturia

D  inadequate cardiac output

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   Echocardiogram

C  Electrocardiogram (ECG)

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

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

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

A  nocturia and sleep disturbances.

B  visual disturbances.

C  taste and smell alterations.

D  dry mouth and urine retention.

A  Measuring and recording fluid intake and output

B  Weighing the client daily at the same time each day

C  Assessing the client’s vital signs every 4 hours

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

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  Observe for mist in the endotracheal tube.

B  Call for a chest x-ray.

C  Listen for breath sounds over the epigastrium.

D  Attach a pulse oximeter probe and obtain values.

A  Furosemide

B  Nitroglycerin

C  Dopamine

D  Morphine sulfate

A  Low-fat diet

B  Low-sodium diet

C   Low-cholesterol diet

D  Low-potassium diet

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

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 his rings have become tight and are difficult to remove.

A  chest pain

B  anxiety

C  confusion

D  dyspnea on exertion

A  IV

B  II

C  I

D  III

A   Ejection fraction

B  Stroke volume

C  Preload

D   Afterload

A  Enlargement of joints

B  Flexion contractures

C  Vasculitis

D  nausea and vomiting

A  Tension pneumothorax

B  Pulmonary embolism

C  Cardiac tamponade

D  Heart failure

A  An echocardiogram

B  A ventriculogram

C  A chest x-ray

D  An electrocardiogram

A  Cough

B  Pulmonary crackles

C  Jugular vein distention (JVD)

D  Dyspnea

A  Enlargement of joints

B  Vasculitis

C  Flexion contractures

D  Potassium levels

A  Hypotension

B  Decreased urinary output

C  Tachycardia

D  Dyspnea on exertion

A  Sleeping in a chair or recliner

B  Gradual unexplained weight gain

C  Increased urine output

D  Increased perspiration

A  Amlodipine

B  Ibuprofen

C  Warfarin

D  Digoxin immune FAB

A  Dizziness

B  Ascites

C  Nocturia

D  Tachycardia

A  a murmur.

B  a third heart sound (S3).

C  a first heart sound (S1).

D  a fourth heart sound (S4).

A  Arterial blood gas (ABG) analysis

B   Lung sounds

C  Skin color assessment

D  Pulse oximetry

A  Restlessness and confusion

B  High blood pressure

C  Increased urinary output

D  Hyperactive bowel sounds

A  hyperpnea.

B  orthopnea.

C  paroxysmal nocturnal dyspnea.

D  dyspnea upon exertion.

A  “Are you urinating excessively at night?”

B  “Are you coughing up blood 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  Brain natriuretic peptide (BNP)

B  Creatinine

C  Blood urea nitrogen (BUN)

D  Complete blood count (CBC)