Chapter 29 Quiz

A  The client shows signs of aneurysm rupture.

B  The client is experiencing heart failure.

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

D  The client is going into cardiogenic shock.

A  Pulse oximetry

B  Arterial blood gases

C  End-tidal CO2

D  Listening to breath sounds

A  Cystic fibrosis

B  Myocardial ischemia

C  Pulmonary embolus

D  Ineffective right ventricular contraction

A  50%

B  40%

C  55%

D  45%

A  fluid intake and output.

B  weight.

C  urine specific gravity.

D  vital signs.

A  Administer pain medication.

B  Assess the surgical incisional area.

C  Titrate oxygen therapy.

D  Assess for jugular vein distention.

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

B  Administer the third sublingual nitroglycerin tablet.

C  Notify the health care provider of the chest pain.

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

A  Decrease in central venous pressure (CVP)

B  Decrease in blood pressure

C  Increase in CVP

D  Absence of cough

A  Increased pulmonary artery diastolic pressure

B  Increase in the cardiac index

C  Decreased mean pulmonary artery pressure

D  Decreased central venous pressure

A  decrease in renal perfusion

B  increased blood volume ejected from ventricle

C  vasodilation of skin

D  dehydration

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  air hunger

B  jugular vein distention

C  ascites

D  pitting edema of the legs

A  Supraventricular tachycardia

B  Sinus tachycardia

C  Atrial fibrillation

D  First-degree heart block

A  It causes a loss of elasticity in the myocardium.

B   It increases preload.

C   It reduces ventricular ejection volume.

D  It increases afterload.

A  Assess for reduced blood sodium levels.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for reduced urine output.

D  Assess for elevated blood potassium levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s neck for distended veins.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s joints for crepitus.

A  Acute pulmonary edema

B  Cardiogenic shock

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   perform chest physiotherapy

D  administer oxygen

A  increased right atrial resistance

B  decreased left ventricular pumping

C  decreased right ventricular elasticity

D  increased left atrial contractility

A  decreased left ventricular workload

B  decreased right ventricular workload

C  decreased renal perfusion

D  decreased peripheral perfusion to the extremities

A  Low ejection fraction (EF)

B  Limited activities of daily living (ADLs)

C  Basilar crackles

D  Pulmonary congestion

A  High blood pressure

B  Tissue hypoperfusion

C  Increased urinary output

D  Hyperactive bowel sounds

A  Sleeping in a chair or recliner

B  Increased urine output

C  Gradual unexplained weight gain

D  Increased perspiration

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Systemic venous congestion

D  Reduction in forward flow

A  skin rash

B  dry cough

C  postural hypotension

D  peripheral edema

A  30%

B  65%

C  55%

D  5%

A  pedal edema

B  fatigue

C  nocturia

D  irregular pulse

A  mannitol

B  metolazone

C   furosemide

D  spironolactone

A  Jugular vein distention

B  Cough

C  Dyspnea

D  Pulmonary crackles

E  Ascites

A  3.2 mg/mL

B  4.0 mg/mL

C  0.25 mg/mL

D  2.0 mg/mL

A  Reduction in cardiac output

B  Accumulation of blood in the lungs

C  Congestion in the peripheral tissues

D  Reduction in forward flow

A  cardiac catheterization

B  cardiac ultrasound

C  electrocardiogram

D  echocardiogram

A  magnesium level of 2.5 mg/dL

B  sodium level of 152 mEq/L

C  potassium level of 2.8 mEq/L

D  calcium level of 7.5 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  Detectable depression of less than 5 mm 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  heart rate of 55 beats per minute

B  blood pressure of 125/80

C  urine output of 300 mL in eight hours

D  atrial fibillation rhythm

A  metoprolol

B  enalapril

C  Natrecor

D  captopril

A  hepatomegaly

B  nocturia

C  inadequate cardiac output

D  ascites

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  tuberculosis.

D  decompensated heart failure with pulmonary edema.

A  Serum electrolytes

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Blood urea nitrogen (BUN)

A  JVD is noted 4 cm above the sternal angle.

B  No JVD is present.

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

D  JVD is noted 2 cm above the sternal angle.

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

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

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

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

A  visual disturbances.

B  nocturia and sleep disturbances.

C  taste and smell alterations.

D  dry mouth and urine retention.

A  Weighing the client daily at the same time each day

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

C  Assessing the client’s vital signs every 4 hours

D  Measuring and recording fluid intake and output

A  fluid intake and output.

B  urine specific gravity.

C  weight.

D  vital signs.

A  obtaining cardiac output with a pulmonary catheter

B  using mechanical ventilation

C  measuring intake and output

D  asking the client about comfort level

A  Attach a pulse oximeter probe and obtain values.

B  Call for a chest x-ray.

C  Listen for breath sounds over the epigastrium.

D  Observe for mist in the endotracheal tube.

A  Morphine sulfate

B  Furosemide

C  Nitroglycerin

D  Dopamine

A  Low-sodium diet

B  Low-fat diet

C  Low-potassium diet

D   Low-cholesterol diet

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

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

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

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

A  confusion

B  dyspnea on exertion

C  chest pain

D  anxiety

A  II

B  I

C  IV

D  III

A  Stroke volume

B   Ejection fraction

C   Afterload

D  Preload

A  Vasculitis

B  nausea and vomiting

C  Enlargement of joints

D  Flexion contractures

A  Pulmonary embolism

B  Tension pneumothorax

C  Cardiac tamponade

D  Heart failure

A  A ventriculogram

B  A chest x-ray

C  An echocardiogram

D  An electrocardiogram

A  Jugular vein distention (JVD)

B  Cough

C  Pulmonary crackles

D  Dyspnea

A  Vasculitis

B  Potassium levels

C  Flexion contractures

D  Enlargement of joints

A  Hypotension

B  Dyspnea on exertion

C  Tachycardia

D  Decreased urinary output

A  Increased urine output

B  Gradual unexplained weight gain

C  Sleeping in a chair or recliner

D  Increased perspiration

A  Ibuprofen

B  Amlodipine

C  Warfarin

D  Digoxin immune FAB

A  Dizziness

B  Tachycardia

C  Ascites

D  Nocturia

A  a first heart sound (S1).

B  a third heart sound (S3).

C  a fourth heart sound (S4).

D  a murmur.

A  Arterial blood gas (ABG) analysis

B  Pulse oximetry

C   Lung sounds

D  Skin color assessment

A  Hyperactive bowel sounds

B  High blood pressure

C  Increased urinary output

D  Restlessness and confusion

A  dyspnea upon exertion.

B  hyperpnea.

C  orthopnea.

D  paroxysmal nocturnal dyspnea.

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

B  “Are you coughing up blood at night?”

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

D  “Are you urinating excessively at night?”

A  Complete blood count (CBC)

B  Blood urea nitrogen (BUN)

C  Brain natriuretic peptide (BNP)

D  Creatinine