Chapter 29 Quiz

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

B  The client is experiencing heart failure.

C  The client shows signs of aneurysm rupture.

D  The client is going into cardiogenic shock.

A  Listening to breath sounds

B  Arterial blood gases

C  End-tidal CO2

D  Pulse oximetry

A  Myocardial ischemia

B  Cystic fibrosis

C  Ineffective right ventricular contraction

D  Pulmonary embolus

A  45%

B  40%

C  55%

D  50%

A  fluid intake and output.

B  urine specific gravity.

C  weight.

D  vital signs.

A  Assess the surgical incisional area.

B  Titrate oxygen therapy.

C  Administer pain medication.

D  Assess for jugular vein distention.

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

B  Notify the health care provider of the chest pain.

C  Administer the third sublingual nitroglycerin tablet.

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

A  Decrease in blood pressure

B  Decrease in central venous pressure (CVP)

C  Increase in CVP

D  Absence of cough

A  Increase in the cardiac index

B  Increased pulmonary artery diastolic pressure

C  Decreased central venous pressure

D  Decreased mean pulmonary artery pressure

A  vasodilation of skin

B  increased blood volume ejected from ventricle

C  dehydration

D  decrease in renal perfusion

A  sustained elevation of the client’s legs

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

C  increasing activity

D  application of antiembolytic stockings

A  ascites

B  air hunger

C  pitting edema of the legs

D  jugular vein distention

A  Atrial fibrillation

B  Sinus tachycardia

C  First-degree heart block

D  Supraventricular tachycardia

A   It increases preload.

B   It reduces ventricular ejection volume.

C  It causes a loss of elasticity in the myocardium.

D  It increases afterload.

A  Assess for reduced blood sodium levels.

B  Assess for elevated blood potassium levels.

C  Assess for elevated blood urea nitrogen levels.

D  Assess for reduced urine output.

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  Progressive heart failure

B  Acute pulmonary edema

C  Cardiogenic shock

D  Pulmonary hypertension

A  administer oxygen

B  place the client in high Fowler’s position

C  have the client take deep breaths and cough

D   perform chest physiotherapy

A  increased left atrial contractility

B  decreased right ventricular elasticity

C  increased right atrial resistance

D  decreased left ventricular pumping

A  decreased peripheral perfusion to the extremities

B  decreased right ventricular workload

C  decreased left ventricular workload

D  decreased renal perfusion

A  Limited activities of daily living (ADLs)

B  Pulmonary congestion

C  Low ejection fraction (EF)

D  Basilar crackles

A  High blood pressure

B  Increased urinary output

C  Tissue hypoperfusion

D  Hyperactive bowel sounds

A  Gradual unexplained weight gain

B  Sleeping in a chair or recliner

C  Increased perspiration

D  Increased urine output

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Reduction in forward flow

D  Systemic venous congestion

A  skin rash

B  peripheral edema

C  dry cough

D  postural hypotension

A  5%

B  30%

C  65%

D  55%

A  irregular pulse

B  fatigue

C  pedal edema

D  nocturia

A  mannitol

B  metolazone

C   furosemide

D  spironolactone

A  Cough

B  Ascites

C  Jugular vein distention

D  Dyspnea

E  Pulmonary crackles

A  4.0 mg/mL

B  3.2 mg/mL

C  2.0 mg/mL

D  0.25 mg/mL

A  Congestion in the peripheral tissues

B  Accumulation of blood in the lungs

C  Reduction in forward flow

D  Reduction in cardiac output

A  cardiac catheterization

B  cardiac ultrasound

C  echocardiogram

D  electrocardiogram

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   Barely detectable depression 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   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  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  captopril

B  metoprolol

C  Natrecor

D  enalapril

A  hepatomegaly

B  ascites

C  nocturia

D  inadequate cardiac output

A  tuberculosis.

B  decompensated heart failure with pulmonary edema.

C  bilateral pneumonia.

D   acute exacerbation of chronic obstructive pulmonary disease.

A  Electrocardiogram (ECG)

B  Blood urea nitrogen (BUN)

C  Serum electrolytes

D   Echocardiogram

A  JVD is noted 4 cm above the sternal angle.

B  JVD is noted at the level of 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  The pericardial space is eliminated with scar tissue and thickened pericardium.

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

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

A  nocturia and sleep disturbances.

B  visual disturbances.

C  dry mouth and urine retention.

D  taste and smell alterations.

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

B  Weighing the client daily at the same time each day

C  Assessing the client’s vital signs every 4 hours

D  Measuring and recording fluid intake and output

A  vital signs.

B  weight.

C  urine specific gravity.

D  fluid intake and output.

A  using mechanical ventilation

B  measuring intake and output

C  obtaining cardiac output with a pulmonary catheter

D  asking the client about comfort level

A  Observe for mist in the endotracheal tube.

B  Listen for breath sounds over the epigastrium.

C  Attach a pulse oximeter probe and obtain values.

D  Call for a chest x-ray.

A  Dopamine

B  Furosemide

C  Morphine sulfate

D  Nitroglycerin

A  Low-sodium diet

B  Low-potassium diet

C   Low-cholesterol diet

D  Low-fat diet

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

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

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

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

A  dyspnea on exertion

B  chest pain

C  confusion

D  anxiety

A  III

B  II

C  I

D  IV

A  Stroke volume

B   Ejection fraction

C   Afterload

D  Preload

A  Enlargement of joints

B  nausea and vomiting

C  Flexion contractures

D  Vasculitis

A  Heart failure

B  Cardiac tamponade

C  Tension pneumothorax

D  Pulmonary embolism

A  An electrocardiogram

B  A chest x-ray

C  An echocardiogram

D  A ventriculogram

A  Pulmonary crackles

B  Jugular vein distention (JVD)

C  Cough

D  Dyspnea

A  Vasculitis

B  Enlargement of joints

C  Flexion contractures

D  Potassium levels

A  Tachycardia

B  Decreased urinary output

C  Dyspnea on exertion

D  Hypotension

A  Increased urine output

B  Sleeping in a chair or recliner

C  Increased perspiration

D  Gradual unexplained weight gain

A  Ibuprofen

B  Amlodipine

C  Digoxin immune FAB

D  Warfarin

A  Dizziness

B  Nocturia

C  Ascites

D  Tachycardia

A  a fourth heart sound (S4).

B  a murmur.

C  a third heart sound (S3).

D  a first heart sound (S1).

A   Lung sounds

B  Arterial blood gas (ABG) analysis

C  Skin color assessment

D  Pulse oximetry

A  Increased urinary output

B  High blood pressure

C  Restlessness and confusion

D  Hyperactive bowel sounds

A  dyspnea upon exertion.

B  orthopnea.

C  hyperpnea.

D  paroxysmal nocturnal dyspnea.

A  “Are you coughing up blood at night?”

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

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  Blood urea nitrogen (BUN)

C  Creatinine

D  Brain natriuretic peptide (BNP)