Chapter 29 Quiz

A  The client is going into cardiogenic shock.

B  The client shows signs of aneurysm rupture.

C  The client is experiencing heart failure.

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

A  Pulse oximetry

B  Listening to breath sounds

C  End-tidal CO2

D  Arterial blood gases

A  Myocardial ischemia

B  Ineffective right ventricular contraction

C  Pulmonary embolus

D  Cystic fibrosis

A  55%

B  40%

C  45%

D  50%

A  weight.

B  vital signs.

C  fluid intake and output.

D  urine specific gravity.

A  Administer pain medication.

B  Titrate oxygen therapy.

C  Assess the surgical incisional area.

D  Assess for jugular vein distention.

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

B  Notify the health care provider of the chest pain.

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

D  Administer the third sublingual nitroglycerin tablet.

A  Decrease in blood pressure

B  Decrease in central venous pressure (CVP)

C  Absence of cough

D  Increase in CVP

A  Decreased mean pulmonary artery pressure

B  Increase in the cardiac index

C  Increased pulmonary artery diastolic pressure

D  Decreased central venous pressure

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  application of antiembolytic stockings

C  increasing activity

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

A  air hunger

B  ascites

C  jugular vein distention

D  pitting edema of the legs

A  Atrial fibrillation

B  Supraventricular tachycardia

C  Sinus tachycardia

D  First-degree heart block

A  It increases afterload.

B   It increases preload.

C   It reduces ventricular ejection volume.

D  It causes a loss of elasticity in the myocardium.

A  Assess for reduced blood sodium levels.

B  Assess for elevated blood potassium levels.

C  Assess for reduced urine output.

D  Assess for elevated blood urea nitrogen levels.

A  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s joints for crepitus.

C  Examine the client’s neck for distended veins.

D  Examine the client’s eyes for excess tears.

A  Cardiogenic shock

B  Acute pulmonary edema

C  Pulmonary hypertension

D  Progressive heart failure

A  administer oxygen

B  have the client take deep breaths and cough

C  place the client in high Fowler’s position

D   perform chest physiotherapy

A  decreased right ventricular elasticity

B  increased left atrial contractility

C  decreased left ventricular pumping

D  increased right atrial resistance

A  decreased right ventricular workload

B  decreased peripheral perfusion to the extremities

C  decreased left ventricular workload

D  decreased renal perfusion

A  Pulmonary congestion

B  Limited activities of daily living (ADLs)

C  Low ejection fraction (EF)

D  Basilar crackles

A  High blood pressure

B  Tissue hypoperfusion

C  Hyperactive bowel sounds

D  Increased urinary output

A  Gradual unexplained weight gain

B  Sleeping in a chair or recliner

C  Increased perspiration

D  Increased urine output

A  Reduction in cardiac output

B  Reduction in forward flow

C  Accumulation of blood in the lungs

D  Systemic venous congestion

A  postural hypotension

B  dry cough

C  peripheral edema

D  skin rash

A  30%

B  5%

C  65%

D  55%

A  nocturia

B  pedal edema

C  fatigue

D  irregular pulse

A   furosemide

B  spironolactone

C  metolazone

D  mannitol

A  Jugular vein distention

B  Cough

C  Dyspnea

D  Pulmonary crackles

E  Ascites

A  3.2 mg/mL

B  2.0 mg/mL

C  4.0 mg/mL

D  0.25 mg/mL

A  Congestion in the peripheral tissues

B  Reduction in forward flow

C  Reduction in cardiac output

D  Accumulation of blood in the lungs

A  electrocardiogram

B  echocardiogram

C  cardiac catheterization

D  cardiac ultrasound

A  sodium level of 152 mEq/L

B  magnesium level of 2.5 mg/dL

C  calcium level of 7.5 mg/dL

D  potassium level of 2.8 mEq/L

A   Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours

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

C  A 5- to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling

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  atrial fibillation rhythm

C  urine output of 300 mL in eight hours

D  heart rate of 55 beats per minute

A  captopril

B  enalapril

C  metoprolol

D  Natrecor

A  inadequate cardiac output

B  ascites

C  nocturia

D  hepatomegaly

A   acute exacerbation of chronic obstructive pulmonary disease.

B  decompensated heart failure with pulmonary edema.

C  tuberculosis.

D  bilateral pneumonia.

A  Blood urea nitrogen (BUN)

B  Serum electrolytes

C   Echocardiogram

D  Electrocardiogram (ECG)

A  JVD is noted 4 cm above the sternal angle.

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

C  JVD is noted 2 cm above the sternal angle.

D  No JVD is present.

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

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

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

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

A  dry mouth and urine retention.

B  visual disturbances.

C  taste and smell alterations.

D  nocturia and sleep disturbances.

A  Assessing the client’s vital signs every 4 hours

B  Measuring and recording fluid intake and output

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

D  Weighing the client daily at the same time each day

A  weight.

B  fluid intake and output.

C  vital signs.

D  urine specific gravity.

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  Nitroglycerin

C  Dopamine

D  Furosemide

A  Low-sodium diet

B   Low-cholesterol diet

C  Low-fat diet

D  Low-potassium 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 his rings have become tight and are difficult to remove.

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

A  dyspnea on exertion

B  anxiety

C  chest pain

D  confusion

A  III

B  II

C  I

D  IV

A  Preload

B   Ejection fraction

C   Afterload

D  Stroke volume

A  nausea and vomiting

B  Enlargement of joints

C  Vasculitis

D  Flexion contractures

A  Tension pneumothorax

B  Pulmonary embolism

C  Cardiac tamponade

D  Heart failure

A  An echocardiogram

B  A ventriculogram

C  An electrocardiogram

D  A chest x-ray

A  Jugular vein distention (JVD)

B  Dyspnea

C  Cough

D  Pulmonary crackles

A  Enlargement of joints

B  Flexion contractures

C  Potassium levels

D  Vasculitis

A  Tachycardia

B  Hypotension

C  Dyspnea on exertion

D  Decreased urinary output

A  Sleeping in a chair or recliner

B  Gradual unexplained weight gain

C  Increased urine output

D  Increased perspiration

A  Ibuprofen

B  Digoxin immune FAB

C  Warfarin

D  Amlodipine

A  Dizziness

B  Nocturia

C  Tachycardia

D  Ascites

A  a first heart sound (S1).

B  a fourth heart sound (S4).

C  a third heart sound (S3).

D  a murmur.

A  Skin color assessment

B  Pulse oximetry

C  Arterial blood gas (ABG) analysis

D   Lung sounds

A  Hyperactive bowel sounds

B  Increased urinary output

C  Restlessness and confusion

D  High blood pressure

A  hyperpnea.

B  dyspnea upon exertion.

C  orthopnea.

D  paroxysmal nocturnal dyspnea.

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

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

C  “Are you coughing up blood at night?”

D  “Are you urinating excessively at night?”

A  Complete blood count (CBC)

B  Brain natriuretic peptide (BNP)

C  Creatinine

D  Blood urea nitrogen (BUN)