Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client is going into cardiogenic shock.

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

D  The client shows signs of aneurysm rupture.

A  Pulse oximetry

B  Arterial blood gases

C  End-tidal CO2

D  Listening to breath sounds

A  Cystic fibrosis

B  Pulmonary embolus

C  Myocardial ischemia

D  Ineffective right ventricular contraction

A  50%

B  55%

C  45%

D  40%

A  urine specific gravity.

B  vital signs.

C  weight.

D  fluid intake and output.

A  Assess for jugular vein distention.

B  Administer pain medication.

C  Assess the surgical incisional area.

D  Titrate oxygen therapy.

A  Notify the health care provider of the chest pain.

B  Wait ten minutes after the second tablet to assess 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  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  increased blood volume ejected from ventricle

C  decrease in renal perfusion

D  dehydration

A  increasing activity

B  sustained elevation of the client’s legs

C  application of antiembolytic stockings

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

A  ascites

B  air hunger

C  pitting edema of the legs

D  jugular vein distention

A  Supraventricular tachycardia

B  Atrial fibrillation

C  Sinus tachycardia

D  First-degree heart block

A   It reduces ventricular ejection volume.

B   It increases preload.

C  It causes a loss of elasticity in the myocardium.

D  It increases afterload.

A  Assess for reduced urine output.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for reduced blood sodium levels.

D  Assess for elevated blood potassium levels.

A  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s eyes for excess tears.

C  Examine the client’s neck for distended veins.

D  Examine the client’s joints for crepitus.

A  Cardiogenic shock

B  Progressive heart failure

C  Acute pulmonary edema

D  Pulmonary hypertension

A   perform chest physiotherapy

B  administer oxygen

C  place the client in high Fowler’s position

D  have the client take deep breaths and cough

A  increased right atrial resistance

B  decreased right ventricular elasticity

C  decreased left ventricular pumping

D  increased left atrial contractility

A  decreased peripheral perfusion to the extremities

B  decreased renal perfusion

C  decreased left ventricular workload

D  decreased right ventricular workload

A  Basilar crackles

B  Limited activities of daily living (ADLs)

C  Low ejection fraction (EF)

D  Pulmonary congestion

A  Increased urinary output

B  High blood pressure

C  Hyperactive bowel sounds

D  Tissue hypoperfusion

A  Increased urine output

B  Gradual unexplained weight gain

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Systemic venous congestion

D  Reduction in forward flow

A  postural hypotension

B  skin rash

C  peripheral edema

D  dry cough

A  5%

B  55%

C  65%

D  30%

A  nocturia

B  pedal edema

C  fatigue

D  irregular pulse

A  metolazone

B  spironolactone

C   furosemide

D  mannitol

A  Jugular vein distention

B  Pulmonary crackles

C  Cough

D  Ascites

E  Dyspnea

A  2.0 mg/mL

B  3.2 mg/mL

C  0.25 mg/mL

D  4.0 mg/mL

A  Reduction in cardiac output

B  Congestion in the peripheral tissues

C  Reduction in forward flow

D  Accumulation of blood in the lungs

A  echocardiogram

B  cardiac ultrasound

C  electrocardiogram

D  cardiac catheterization

A  magnesium level of 2.5 mg/dL

B  calcium level of 7.5 mg/dL

C  sodium level of 152 mEq/L

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  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  heart rate of 55 beats per minute

B  blood pressure of 125/80

C  atrial fibillation rhythm

D  urine output of 300 mL in eight hours

A  Natrecor

B  metoprolol

C  captopril

D  enalapril

A  nocturia

B  ascites

C  inadequate cardiac output

D  hepatomegaly

A  bilateral pneumonia.

B  decompensated heart failure with pulmonary edema.

C  tuberculosis.

D   acute exacerbation of chronic obstructive pulmonary disease.

A  Blood urea nitrogen (BUN)

B  Electrocardiogram (ECG)

C   Echocardiogram

D  Serum electrolytes

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

B  No JVD is present.

C  JVD is noted 2 cm above the sternal angle.

D  JVD is noted 4 cm above the sternal angle.

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

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

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

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

A  taste and smell alterations.

B  nocturia and sleep disturbances.

C  dry mouth and urine retention.

D  visual disturbances.

A  Measuring and recording fluid intake and output

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

C  Weighing the client daily at the same time each day

D  Assessing the client’s vital signs every 4 hours

A  urine specific gravity.

B  weight.

C  fluid intake and output.

D  vital signs.

A  obtaining cardiac output with a pulmonary catheter

B  measuring intake and output

C  using mechanical ventilation

D  asking the client about comfort level

A  Listen for breath sounds over the epigastrium.

B  Observe for mist in the endotracheal tube.

C  Attach a pulse oximeter probe and obtain values.

D  Call for a chest x-ray.

A  Morphine sulfate

B  Nitroglycerin

C  Dopamine

D  Furosemide

A   Low-cholesterol diet

B  Low-potassium diet

C  Low-sodium diet

D  Low-fat diet

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

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 that he has been urinating less frequently at night.

A  confusion

B  chest pain

C  dyspnea on exertion

D  anxiety

A  II

B  IV

C  III

D  I

A  Preload

B   Ejection fraction

C   Afterload

D  Stroke volume

A  nausea and vomiting

B  Flexion contractures

C  Vasculitis

D  Enlargement of joints

A  Heart failure

B  Cardiac tamponade

C  Tension pneumothorax

D  Pulmonary embolism

A  A chest x-ray

B  An electrocardiogram

C  A ventriculogram

D  An echocardiogram

A  Pulmonary crackles

B  Cough

C  Jugular vein distention (JVD)

D  Dyspnea

A  Vasculitis

B  Enlargement of joints

C  Potassium levels

D  Flexion contractures

A  Dyspnea on exertion

B  Hypotension

C  Decreased urinary output

D  Tachycardia

A  Sleeping in a chair or recliner

B  Increased urine output

C  Increased perspiration

D  Gradual unexplained weight gain

A  Digoxin immune FAB

B  Warfarin

C  Ibuprofen

D  Amlodipine

A  Tachycardia

B  Dizziness

C  Ascites

D  Nocturia

A  a fourth heart sound (S4).

B  a murmur.

C  a first heart sound (S1).

D  a third heart sound (S3).

A   Lung sounds

B  Pulse oximetry

C  Arterial blood gas (ABG) analysis

D  Skin color assessment

A  High blood pressure

B  Restlessness and confusion

C  Increased urinary output

D  Hyperactive bowel sounds

A  hyperpnea.

B  paroxysmal nocturnal dyspnea.

C  orthopnea.

D  dyspnea upon exertion.

A  “Are you urinating excessively at night?”

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

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

D  “Are you coughing up blood at night?”

A  Blood urea nitrogen (BUN)

B  Creatinine

C  Complete blood count (CBC)

D  Brain natriuretic peptide (BNP)