Chapter 29 Quiz

A  The client is going into cardiogenic shock.

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

C  The client shows signs of aneurysm rupture.

D  The client is experiencing heart failure.

A  Arterial blood gases

B  End-tidal CO2

C  Pulse oximetry

D  Listening to breath sounds

A  Ineffective right ventricular contraction

B  Pulmonary embolus

C  Myocardial ischemia

D  Cystic fibrosis

A  55%

B  45%

C  50%

D  40%

A  weight.

B  fluid intake and output.

C  vital signs.

D  urine specific gravity.

A  Titrate oxygen therapy.

B  Assess for jugular vein distention.

C  Administer pain medication.

D  Assess the surgical incisional area.

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

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

C  Notify the health care provider of the chest pain.

D  Administer the third sublingual nitroglycerin tablet.

A  Absence of cough

B  Decrease in blood pressure

C  Increase in CVP

D  Decrease in central venous pressure (CVP)

A  Decreased central venous pressure

B  Increase in the cardiac index

C  Increased pulmonary artery diastolic pressure

D  Decreased mean pulmonary artery pressure

A  decrease in renal perfusion

B  dehydration

C  increased blood volume ejected from ventricle

D  vasodilation of skin

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

B  application of antiembolytic stockings

C  increasing activity

D  sustained elevation of the client’s legs

A  ascites

B  pitting edema of the legs

C  jugular vein distention

D  air hunger

A  Sinus tachycardia

B  First-degree heart block

C  Atrial fibrillation

D  Supraventricular tachycardia

A  It causes a loss of elasticity in the myocardium.

B   It reduces ventricular ejection volume.

C  It increases afterload.

D   It increases preload.

A  Assess for elevated blood urea nitrogen levels.

B  Assess for reduced blood sodium levels.

C  Assess for reduced urine output.

D  Assess for elevated blood potassium levels.

A  Examine the client’s neck for distended veins.

B  Monitor the client for signs of lethargy or confusion.

C  Examine the client’s joints for crepitus.

D  Examine the client’s eyes for excess tears.

A  Cardiogenic shock

B  Acute pulmonary edema

C  Pulmonary hypertension

D  Progressive heart failure

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  decreased left ventricular pumping

B  increased right atrial resistance

C  decreased right ventricular elasticity

D  increased left atrial contractility

A  decreased peripheral perfusion to the extremities

B  decreased right ventricular workload

C  decreased left ventricular workload

D  decreased renal perfusion

A  Low ejection fraction (EF)

B  Basilar crackles

C  Pulmonary congestion

D  Limited activities of daily living (ADLs)

A  Tissue hypoperfusion

B  Increased urinary output

C  High blood pressure

D  Hyperactive bowel sounds

A  Increased urine output

B  Sleeping in a chair or recliner

C  Gradual unexplained weight gain

D  Increased perspiration

A  Systemic venous congestion

B  Accumulation of blood in the lungs

C  Reduction in cardiac output

D  Reduction in forward flow

A  peripheral edema

B  skin rash

C  postural hypotension

D  dry cough

A  30%

B  65%

C  55%

D  5%

A  pedal edema

B  fatigue

C  irregular pulse

D  nocturia

A  mannitol

B   furosemide

C  metolazone

D  spironolactone

A  Ascites

B  Pulmonary crackles

C  Jugular vein distention

D  Cough

E  Dyspnea

A  3.2 mg/mL

B  0.25 mg/mL

C  2.0 mg/mL

D  4.0 mg/mL

A  Reduction in cardiac output

B  Congestion in the peripheral tissues

C  Reduction in forward flow

D  Accumulation of blood in the lungs

A  cardiac ultrasound

B  cardiac catheterization

C  electrocardiogram

D  echocardiogram

A  magnesium level of 2.5 mg/dL

B  potassium level of 2.8 mEq/L

C  sodium level of 152 mEq/L

D  calcium level of 7.5 mg/dL

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  atrial fibillation rhythm

B  urine output of 300 mL in eight hours

C  heart rate of 55 beats per minute

D  blood pressure of 125/80

A  captopril

B  Natrecor

C  enalapril

D  metoprolol

A  ascites

B  inadequate cardiac output

C  nocturia

D  hepatomegaly

A  decompensated heart failure with pulmonary edema.

B   acute exacerbation of chronic obstructive pulmonary disease.

C  bilateral pneumonia.

D  tuberculosis.

A  Blood urea nitrogen (BUN)

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Serum electrolytes

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

B  JVD is noted 4 cm above the sternal angle.

C  JVD is noted 2 cm above the sternal angle.

D  No JVD is present.

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  taste and smell alterations.

B  nocturia and sleep disturbances.

C  dry mouth and urine retention.

D  visual disturbances.

A  Assessing the client’s vital signs every 4 hours

B  Measuring and recording fluid intake and output

C  Weighing the client daily at the same time each day

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

A  urine specific gravity.

B  vital signs.

C  weight.

D  fluid intake and output.

A  obtaining cardiac output with a pulmonary catheter

B  asking the client about comfort level

C  measuring intake and output

D  using mechanical ventilation

A  Call for a chest x-ray.

B  Listen for breath sounds over the epigastrium.

C  Observe for mist in the endotracheal tube.

D  Attach a pulse oximeter probe and obtain values.

A  Morphine sulfate

B  Furosemide

C  Nitroglycerin

D  Dopamine

A  Low-fat diet

B   Low-cholesterol diet

C  Low-potassium diet

D  Low-sodium 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  chest pain

B  dyspnea on exertion

C  confusion

D  anxiety

A  II

B  III

C  I

D  IV

A  Stroke volume

B   Ejection fraction

C   Afterload

D  Preload

A  Flexion contractures

B  nausea and vomiting

C  Vasculitis

D  Enlargement of joints

A  Heart failure

B  Tension pneumothorax

C  Pulmonary embolism

D  Cardiac tamponade

A  An electrocardiogram

B  A chest x-ray

C  A ventriculogram

D  An echocardiogram

A  Cough

B  Pulmonary crackles

C  Dyspnea

D  Jugular vein distention (JVD)

A  Flexion contractures

B  Potassium levels

C  Enlargement of joints

D  Vasculitis

A  Decreased urinary output

B  Tachycardia

C  Dyspnea on exertion

D  Hypotension

A  Gradual unexplained weight gain

B  Increased urine output

C  Sleeping in a chair or recliner

D  Increased perspiration

A  Ibuprofen

B  Digoxin immune FAB

C  Warfarin

D  Amlodipine

A  Nocturia

B  Ascites

C  Dizziness

D  Tachycardia

A  a murmur.

B  a fourth heart sound (S4).

C  a third heart sound (S3).

D  a first heart sound (S1).

A  Pulse oximetry

B   Lung sounds

C  Arterial blood gas (ABG) analysis

D  Skin color assessment

A  Increased urinary output

B  Hyperactive bowel sounds

C  High blood pressure

D  Restlessness and confusion

A  paroxysmal nocturnal dyspnea.

B  orthopnea.

C  dyspnea upon exertion.

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  Complete blood count (CBC)

B  Brain natriuretic peptide (BNP)

C  Blood urea nitrogen (BUN)

D  Creatinine