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  40%

B  55%

C  45%

D  50%

A  urine specific gravity.

B  fluid intake and output.

C  weight.

D  vital signs.

A  Assess for jugular vein distention.

B  Titrate oxygen therapy.

C  Administer pain medication.

D  Assess the surgical incisional area.

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

B  Administer the third sublingual nitroglycerin tablet.

C  Notify the health care provider of the chest pain.

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

A  Decrease in blood pressure

B  Absence of cough

C  Decrease in central venous pressure (CVP)

D  Increase in CVP

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  dehydration

C  increased blood volume ejected from ventricle

D  decrease in renal perfusion

A  increasing activity

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

C  sustained elevation of the client’s legs

D  application of antiembolytic stockings

A  jugular vein distention

B  air hunger

C  ascites

D  pitting edema of the legs

A  Sinus tachycardia

B  First-degree heart block

C  Atrial fibrillation

D  Supraventricular tachycardia

A   It reduces ventricular ejection volume.

B  It causes a loss of elasticity in the myocardium.

C   It increases preload.

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  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s neck for distended veins.

C  Examine the client’s joints for crepitus.

D  Examine the client’s eyes for excess tears.

A  Progressive heart failure

B  Pulmonary hypertension

C  Cardiogenic shock

D  Acute pulmonary edema

A  place the client in high Fowler’s position

B  administer oxygen

C  have the client take deep breaths and cough

D   perform chest physiotherapy

A  decreased left ventricular pumping

B  increased right atrial resistance

C  increased left atrial contractility

D  decreased right ventricular elasticity

A  decreased left ventricular workload

B  decreased renal perfusion

C  decreased peripheral perfusion to the extremities

D  decreased right ventricular workload

A  Limited activities of daily living (ADLs)

B  Low ejection fraction (EF)

C  Pulmonary congestion

D  Basilar crackles

A  Increased urinary output

B  Tissue hypoperfusion

C  Hyperactive bowel sounds

D  High blood pressure

A  Increased perspiration

B  Increased urine output

C  Gradual unexplained weight gain

D  Sleeping in a chair or recliner

A  Reduction in cardiac output

B  Systemic venous congestion

C  Accumulation of blood in the lungs

D  Reduction in forward flow

A  peripheral edema

B  postural hypotension

C  dry cough

D  skin rash

A  65%

B  5%

C  30%

D  55%

A  nocturia

B  irregular pulse

C  fatigue

D  pedal edema

A  mannitol

B   furosemide

C  metolazone

D  spironolactone

A  Jugular vein distention

B  Ascites

C  Dyspnea

D  Cough

E  Pulmonary crackles

A  4.0 mg/mL

B  2.0 mg/mL

C  0.25 mg/mL

D  3.2 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  echocardiogram

B  cardiac catheterization

C  electrocardiogram

D  cardiac ultrasound

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

A  urine output of 300 mL in eight hours

B  heart rate of 55 beats per minute

C  blood pressure of 125/80

D  atrial fibillation rhythm

A  enalapril

B  Natrecor

C  metoprolol

D  captopril

A  hepatomegaly

B  ascites

C  nocturia

D  inadequate cardiac output

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  decompensated heart failure with pulmonary edema.

D  tuberculosis.

A   Echocardiogram

B  Electrocardiogram (ECG)

C  Serum electrolytes

D  Blood urea nitrogen (BUN)

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

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

A  nocturia and sleep disturbances.

B  visual disturbances.

C  dry mouth and urine retention.

D  taste and smell alterations.

A  Weighing the client daily at the same time each day

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

C  Measuring and recording fluid intake and output

D  Assessing the client’s vital signs every 4 hours

A  weight.

B  vital signs.

C  urine specific gravity.

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  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  Morphine sulfate

B  Nitroglycerin

C  Furosemide

D  Dopamine

A  Low-sodium diet

B   Low-cholesterol diet

C  Low-potassium diet

D  Low-fat diet

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

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

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

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

A  anxiety

B  dyspnea on exertion

C  confusion

D  chest pain

A  IV

B  III

C  II

D  I

A  Preload

B   Afterload

C   Ejection fraction

D  Stroke volume

A  Enlargement of joints

B  nausea and vomiting

C  Flexion contractures

D  Vasculitis

A  Cardiac tamponade

B  Heart failure

C  Pulmonary embolism

D  Tension pneumothorax

A  A ventriculogram

B  A chest x-ray

C  An echocardiogram

D  An electrocardiogram

A  Pulmonary crackles

B  Cough

C  Dyspnea

D  Jugular vein distention (JVD)

A  Vasculitis

B  Potassium levels

C  Flexion contractures

D  Enlargement of joints

A  Decreased urinary output

B  Hypotension

C  Dyspnea on exertion

D  Tachycardia

A  Gradual unexplained weight gain

B  Increased perspiration

C  Increased urine output

D  Sleeping in a chair or recliner

A  Digoxin immune FAB

B  Warfarin

C  Ibuprofen

D  Amlodipine

A  Nocturia

B  Dizziness

C  Tachycardia

D  Ascites

A  a fourth heart sound (S4).

B  a murmur.

C  a third heart sound (S3).

D  a first heart sound (S1).

A  Arterial blood gas (ABG) analysis

B  Pulse oximetry

C   Lung sounds

D  Skin color assessment

A  High blood pressure

B  Hyperactive bowel sounds

C  Restlessness and confusion

D  Increased urinary output

A  dyspnea upon exertion.

B  paroxysmal nocturnal dyspnea.

C  hyperpnea.

D  orthopnea.

A  “Are you coughing up blood at night?”

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

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

D  “Are you urinating excessively at night?”

A  Complete blood count (CBC)

B  Creatinine

C  Brain natriuretic peptide (BNP)

D  Blood urea nitrogen (BUN)