Chapter 29 Quiz

A  The client shows signs of aneurysm rupture.

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

C  The client is going into cardiogenic shock.

D  The client is experiencing heart failure.

A  Arterial blood gases

B  End-tidal CO2

C  Listening to breath sounds

D  Pulse oximetry

A  Pulmonary embolus

B  Cystic fibrosis

C  Myocardial ischemia

D  Ineffective right ventricular contraction

A  45%

B  50%

C  40%

D  55%

A  vital signs.

B  weight.

C  urine specific gravity.

D  fluid intake and output.

A  Assess the surgical incisional area.

B  Assess for jugular vein distention.

C  Administer pain medication.

D  Titrate oxygen therapy.

A  Administer the third sublingual nitroglycerin tablet.

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

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

D  Notify the health care provider of the chest pain.

A  Absence of cough

B  Increase in CVP

C  Decrease in central venous pressure (CVP)

D  Decrease in blood pressure

A  Decreased mean pulmonary artery pressure

B  Increase in the cardiac index

C  Decreased central venous pressure

D  Increased pulmonary artery diastolic pressure

A  vasodilation of skin

B  dehydration

C  increased blood volume ejected from ventricle

D  decrease in renal perfusion

A  increasing activity

B  sustained elevation of the client’s legs

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  jugular vein distention

D  air hunger

A  Atrial fibrillation

B  First-degree heart block

C  Supraventricular tachycardia

D  Sinus tachycardia

A   It increases preload.

B  It causes a loss of elasticity in the myocardium.

C  It increases afterload.

D   It reduces ventricular ejection volume.

A  Assess for elevated blood potassium levels.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for reduced urine output.

D  Assess for reduced blood sodium levels.

A  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s eyes for excess tears.

C  Examine the client’s neck for distended veins.

D  Examine the client’s joints for crepitus.

A  Progressive heart failure

B  Acute pulmonary edema

C  Pulmonary hypertension

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  decreased right ventricular elasticity

C  increased right atrial resistance

D  decreased left ventricular pumping

A  decreased renal perfusion

B  decreased left ventricular workload

C  decreased right ventricular workload

D  decreased peripheral perfusion to the extremities

A  Pulmonary congestion

B  Limited activities of daily living (ADLs)

C  Basilar crackles

D  Low ejection fraction (EF)

A  Hyperactive bowel sounds

B  Increased urinary output

C  High blood pressure

D  Tissue hypoperfusion

A  Gradual unexplained weight gain

B  Increased perspiration

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  peripheral edema

B  dry cough

C  skin rash

D  postural hypotension

A  5%

B  30%

C  55%

D  65%

A  fatigue

B  irregular pulse

C  pedal edema

D  nocturia

A  metolazone

B   furosemide

C  mannitol

D  spironolactone

A  Cough

B  Dyspnea

C  Pulmonary crackles

D  Jugular vein distention

E  Ascites

A  2.0 mg/mL

B  4.0 mg/mL

C  0.25 mg/mL

D  3.2 mg/mL

A  Reduction in cardiac output

B  Congestion in the peripheral tissues

C  Accumulation of blood in the lungs

D  Reduction in forward flow

A  cardiac ultrasound

B  electrocardiogram

C  cardiac catheterization

D  echocardiogram

A  potassium level of 2.8 mEq/L

B  sodium level of 152 mEq/L

C  calcium level of 7.5 mg/dL

D  magnesium level of 2.5 mg/dL

A  Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours

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

A  blood pressure of 125/80

B  heart rate of 55 beats per minute

C  atrial fibillation rhythm

D  urine output of 300 mL in eight hours

A  metoprolol

B  captopril

C  Natrecor

D  enalapril

A  hepatomegaly

B  nocturia

C  ascites

D  inadequate cardiac output

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  tuberculosis.

D  decompensated heart failure with pulmonary edema.

A  Blood urea nitrogen (BUN)

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Serum electrolytes

A  JVD is noted 2 cm above the sternal angle.

B  JVD is noted 4 cm above the sternal angle.

C  No JVD is present.

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

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

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  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  using mechanical ventilation

B  asking the client about comfort level

C  measuring intake and output

D  obtaining cardiac output with a pulmonary catheter

A  Listen for breath sounds over the epigastrium.

B  Observe for mist in the endotracheal tube.

C  Attach a pulse oximeter probe and obtain values.

D  Call for a chest x-ray.

A  Furosemide

B  Morphine sulfate

C  Dopamine

D  Nitroglycerin

A  Low-fat diet

B  Low-sodium diet

C  Low-potassium diet

D   Low-cholesterol diet

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

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

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  dyspnea on exertion

B  anxiety

C  confusion

D  chest pain

A  III

B  I

C  IV

D  II

A  Stroke volume

B  Preload

C   Afterload

D   Ejection fraction

A  Flexion contractures

B  nausea and vomiting

C  Enlargement of joints

D  Vasculitis

A  Pulmonary embolism

B  Heart failure

C  Tension pneumothorax

D  Cardiac tamponade

A  A ventriculogram

B  A chest x-ray

C  An echocardiogram

D  An electrocardiogram

A  Pulmonary crackles

B  Jugular vein distention (JVD)

C  Cough

D  Dyspnea

A  Flexion contractures

B  Enlargement of joints

C  Vasculitis

D  Potassium levels

A  Hypotension

B  Tachycardia

C  Dyspnea on exertion

D  Decreased urinary output

A  Sleeping in a chair or recliner

B  Gradual unexplained weight gain

C  Increased perspiration

D  Increased urine output

A  Digoxin immune FAB

B  Ibuprofen

C  Amlodipine

D  Warfarin

A  Tachycardia

B  Nocturia

C  Dizziness

D  Ascites

A  a fourth heart sound (S4).

B  a third heart sound (S3).

C  a murmur.

D  a first heart sound (S1).

A  Arterial blood gas (ABG) analysis

B   Lung sounds

C  Pulse oximetry

D  Skin color assessment

A  Increased urinary output

B  Hyperactive bowel sounds

C  Restlessness and confusion

D  High blood pressure

A  paroxysmal nocturnal dyspnea.

B  dyspnea upon exertion.

C  orthopnea.

D  hyperpnea.

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

B  “Are you coughing up blood at night?”

C  “Are you urinating excessively at night?”

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

A  Brain natriuretic peptide (BNP)

B  Blood urea nitrogen (BUN)

C  Complete blood count (CBC)

D  Creatinine