Chapter 29 Quiz

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

B  The client shows signs of aneurysm rupture.

C  The client is going into cardiogenic shock.

D  The client is experiencing heart failure.

A  End-tidal CO2

B  Pulse oximetry

C  Arterial blood gases

D  Listening to breath sounds

A  Pulmonary embolus

B  Cystic fibrosis

C  Myocardial ischemia

D  Ineffective right ventricular contraction

A  50%

B  55%

C  40%

D  45%

A  weight.

B  fluid intake and output.

C  urine specific gravity.

D  vital signs.

A  Titrate oxygen therapy.

B  Administer pain medication.

C  Assess the surgical incisional area.

D  Assess for jugular vein distention.

A  Notify the health care provider of the chest pain.

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

C  Administer the third sublingual nitroglycerin tablet.

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

A  Decrease in blood pressure

B  Absence of cough

C  Increase in CVP

D  Decrease in central venous pressure (CVP)

A  Increased pulmonary artery diastolic pressure

B  Decreased central venous pressure

C  Decreased mean pulmonary artery pressure

D  Increase in the cardiac index

A  vasodilation of skin

B  decrease in renal perfusion

C  dehydration

D  increased blood volume ejected from ventricle

A  application of antiembolytic stockings

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

C  increasing activity

D  sustained elevation of the client’s legs

A  pitting edema of the legs

B  ascites

C  air hunger

D  jugular vein distention

A  Sinus tachycardia

B  Supraventricular tachycardia

C  First-degree heart block

D  Atrial fibrillation

A  It causes a loss of elasticity in the myocardium.

B  It increases afterload.

C   It reduces ventricular ejection volume.

D   It increases preload.

A  Assess for elevated blood urea nitrogen levels.

B  Assess for reduced blood sodium levels.

C  Assess for elevated blood potassium levels.

D  Assess for reduced urine output.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s joints for crepitus.

C  Examine the client’s neck for distended veins.

D  Monitor the client for signs of lethargy or confusion.

A  Pulmonary hypertension

B  Progressive heart failure

C  Acute pulmonary edema

D  Cardiogenic shock

A   perform chest physiotherapy

B  administer oxygen

C  have the client take deep breaths and cough

D  place the client in high Fowler’s position

A  decreased right ventricular elasticity

B  increased left atrial contractility

C  decreased left ventricular pumping

D  increased right atrial resistance

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  Increased urine output

B  Increased perspiration

C  Gradual unexplained weight gain

D  Sleeping in a chair or recliner

A  Reduction in forward flow

B  Systemic venous congestion

C  Accumulation of blood in the lungs

D  Reduction in cardiac output

A  postural hypotension

B  dry cough

C  skin rash

D  peripheral edema

A  65%

B  5%

C  55%

D  30%

A  pedal edema

B  nocturia

C  fatigue

D  irregular pulse

A  spironolactone

B  mannitol

C  metolazone

D   furosemide

A  Jugular vein distention

B  Cough

C  Pulmonary crackles

D  Dyspnea

E  Ascites

A  4.0 mg/mL

B  3.2 mg/mL

C  0.25 mg/mL

D  2.0 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  electrocardiogram

B  echocardiogram

C  cardiac catheterization

D  cardiac ultrasound

A  calcium level of 7.5 mg/dL

B  potassium level of 2.8 mEq/L

C  sodium level of 152 mEq/L

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

C  A 5- to 10-mm depression when the thumb is released from the swollen area; 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  urine output of 300 mL in eight hours

D  blood pressure of 125/80

A  captopril

B  metoprolol

C  enalapril

D  Natrecor

A  ascites

B  nocturia

C  inadequate cardiac output

D  hepatomegaly

A  tuberculosis.

B  decompensated heart failure with pulmonary edema.

C   acute exacerbation of chronic obstructive pulmonary disease.

D  bilateral pneumonia.

A  Electrocardiogram (ECG)

B  Blood urea nitrogen (BUN)

C   Echocardiogram

D  Serum electrolytes

A  No JVD is present.

B  JVD is noted 4 cm above the sternal angle.

C  JVD is noted 2 cm above the sternal angle.

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

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

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  Excess pericardial fluid compresses the heart and prevents adequate diastolic filling.

A  taste and smell alterations.

B  visual disturbances.

C  dry mouth and urine retention.

D  nocturia and sleep 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  weight.

C  vital signs.

D  urine specific gravity.

A  asking the client about comfort level

B  obtaining cardiac output with a pulmonary catheter

C  using mechanical ventilation

D  measuring intake and output

A  Observe for mist in the endotracheal tube.

B  Attach a pulse oximeter probe and obtain values.

C  Listen for breath sounds over the epigastrium.

D  Call for a chest x-ray.

A  Nitroglycerin

B  Furosemide

C  Dopamine

D  Morphine sulfate

A   Low-cholesterol diet

B  Low-fat diet

C  Low-potassium diet

D  Low-sodium diet

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

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

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

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

A  dyspnea on exertion

B  anxiety

C  confusion

D  chest pain

A  III

B  II

C  I

D  IV

A  Stroke volume

B   Ejection fraction

C   Afterload

D  Preload

A  Enlargement of joints

B  Vasculitis

C  Flexion contractures

D  nausea and vomiting

A  Pulmonary embolism

B  Cardiac tamponade

C  Heart failure

D  Tension pneumothorax

A  A chest x-ray

B  An echocardiogram

C  An electrocardiogram

D  A ventriculogram

A  Cough

B  Jugular vein distention (JVD)

C  Pulmonary crackles

D  Dyspnea

A  Vasculitis

B  Flexion contractures

C  Potassium levels

D  Enlargement of joints

A  Tachycardia

B  Decreased urinary output

C  Dyspnea on exertion

D  Hypotension

A  Increased urine output

B  Gradual unexplained weight gain

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Amlodipine

B  Warfarin

C  Digoxin immune FAB

D  Ibuprofen

A  Dizziness

B  Tachycardia

C  Ascites

D  Nocturia

A  a third heart sound (S3).

B  a fourth heart sound (S4).

C  a murmur.

D  a first heart sound (S1).

A  Skin color assessment

B  Arterial blood gas (ABG) analysis

C  Pulse oximetry

D   Lung sounds

A  Restlessness and confusion

B  High blood pressure

C  Hyperactive bowel sounds

D  Increased urinary output

A  orthopnea.

B  hyperpnea.

C  paroxysmal nocturnal dyspnea.

D  dyspnea upon exertion.

A  “Are you coughing up blood at night?”

B  “Are you urinating excessively 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  Blood urea nitrogen (BUN)

B  Creatinine

C  Complete blood count (CBC)

D  Brain natriuretic peptide (BNP)