Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client is in the early stage of right-sided 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  Pulmonary embolus

B  Cystic fibrosis

C  Myocardial ischemia

D  Ineffective right ventricular contraction

A  50%

B  55%

C  40%

D  45%

A  urine specific gravity.

B  fluid intake and output.

C  vital signs.

D  weight.

A  Assess for jugular vein distention.

B  Titrate oxygen therapy.

C  Assess the surgical incisional area.

D  Administer pain medication.

A  Administer the third sublingual nitroglycerin tablet.

B  Notify the health care provider of the chest pain.

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

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

A  Absence of cough

B  Decrease in central venous pressure (CVP)

C  Decrease in blood pressure

D  Increase in CVP

A  Decreased mean pulmonary artery pressure

B  Decreased central venous pressure

C  Increased pulmonary artery diastolic pressure

D  Increase in the cardiac index

A  increased blood volume ejected from ventricle

B  vasodilation of skin

C  dehydration

D  decrease in renal perfusion

A  application of antiembolytic stockings

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

C  increasing activity

D  sustained elevation of the client’s legs

A  air hunger

B  ascites

C  pitting edema of the legs

D  jugular vein distention

A  Supraventricular tachycardia

B  First-degree heart block

C  Atrial fibrillation

D  Sinus tachycardia

A   It increases preload.

B  It causes a loss of elasticity in the myocardium.

C   It reduces ventricular ejection volume.

D  It increases afterload.

A  Assess for elevated blood potassium levels.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for reduced urine output.

D  Assess for reduced blood sodium levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s joints for crepitus.

C  Examine the client’s neck for distended veins.

D  Monitor the client for signs of lethargy or confusion.

A  Progressive heart failure

B  Pulmonary hypertension

C  Acute pulmonary edema

D  Cardiogenic shock

A  place the client in high Fowler’s position

B   perform chest physiotherapy

C  administer oxygen

D  have the client take deep breaths and cough

A  decreased right ventricular elasticity

B  increased right atrial resistance

C  decreased left ventricular pumping

D  increased left atrial contractility

A  decreased right ventricular workload

B  decreased peripheral perfusion to the extremities

C  decreased left ventricular workload

D  decreased renal perfusion

A  Low ejection fraction (EF)

B  Limited activities of daily living (ADLs)

C  Basilar crackles

D  Pulmonary congestion

A  Tissue hypoperfusion

B  High blood pressure

C  Hyperactive bowel sounds

D  Increased urinary output

A  Increased urine output

B  Gradual unexplained weight gain

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Reduction in forward flow

B  Systemic venous congestion

C  Accumulation of blood in the lungs

D  Reduction in cardiac output

A  peripheral edema

B  skin rash

C  dry cough

D  postural hypotension

A  55%

B  5%

C  30%

D  65%

A  fatigue

B  irregular pulse

C  pedal edema

D  nocturia

A  metolazone

B  spironolactone

C   furosemide

D  mannitol

A  Cough

B  Pulmonary crackles

C  Jugular vein distention

D  Ascites

E  Dyspnea

A  2.0 mg/mL

B  0.25 mg/mL

C  3.2 mg/mL

D  4.0 mg/mL

A  Accumulation of blood in the lungs

B  Reduction in cardiac output

C  Reduction in forward flow

D  Congestion in the peripheral tissues

A  cardiac ultrasound

B  echocardiogram

C  electrocardiogram

D  cardiac catheterization

A  calcium level of 7.5 mg/dL

B  magnesium level of 2.5 mg/dL

C  sodium level of 152 mEq/L

D  potassium level of 2.8 mEq/L

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

A  atrial fibillation rhythm

B  heart rate of 55 beats per minute

C  blood pressure of 125/80

D  urine output of 300 mL in eight hours

A  Natrecor

B  enalapril

C  metoprolol

D  captopril

A  ascites

B  inadequate cardiac output

C  nocturia

D  hepatomegaly

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  tuberculosis.

D  decompensated heart failure with pulmonary edema.

A   Echocardiogram

B  Blood urea nitrogen (BUN)

C  Serum electrolytes

D  Electrocardiogram (ECG)

A  No JVD is present.

B  JVD is noted 2 cm above the sternal angle.

C  JVD is noted 4 cm above the sternal angle.

D  JVD is noted at the level of 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  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  dry mouth and urine retention.

B  visual disturbances.

C  taste and smell alterations.

D  nocturia and sleep disturbances.

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  weight.

B  fluid intake and output.

C  vital signs.

D  urine specific gravity.

A  measuring intake and output

B  using mechanical ventilation

C  asking the client about comfort level

D  obtaining cardiac output with a pulmonary catheter

A  Call for a chest x-ray.

B  Attach a pulse oximeter probe and obtain values.

C  Listen for breath sounds over the epigastrium.

D  Observe for mist in the endotracheal tube.

A  Nitroglycerin

B  Furosemide

C  Dopamine

D  Morphine sulfate

A  Low-fat diet

B  Low-potassium diet

C   Low-cholesterol diet

D  Low-sodium diet

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

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

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

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

A  chest pain

B  confusion

C  dyspnea on exertion

D  anxiety

A  III

B  I

C  II

D  IV

A   Afterload

B  Stroke volume

C  Preload

D   Ejection fraction

A  Flexion contractures

B  Enlargement of joints

C  Vasculitis

D  nausea and vomiting

A  Pulmonary embolism

B  Cardiac tamponade

C  Tension pneumothorax

D  Heart failure

A  A chest x-ray

B  An electrocardiogram

C  An echocardiogram

D  A ventriculogram

A  Cough

B  Pulmonary crackles

C  Dyspnea

D  Jugular vein distention (JVD)

A  Flexion contractures

B  Vasculitis

C  Potassium levels

D  Enlargement of joints

A  Tachycardia

B  Hypotension

C  Decreased urinary output

D  Dyspnea on exertion

A  Gradual unexplained weight gain

B  Increased urine output

C  Increased perspiration

D  Sleeping in a chair or recliner

A  Amlodipine

B  Digoxin immune FAB

C  Warfarin

D  Ibuprofen

A  Tachycardia

B  Dizziness

C  Nocturia

D  Ascites

A  a third heart sound (S3).

B  a fourth heart sound (S4).

C  a murmur.

D  a first heart sound (S1).

A  Arterial blood gas (ABG) analysis

B  Pulse oximetry

C   Lung sounds

D  Skin color assessment

A  Increased urinary output

B  Hyperactive bowel sounds

C  High blood pressure

D  Restlessness and confusion

A  orthopnea.

B  hyperpnea.

C  paroxysmal nocturnal dyspnea.

D  dyspnea upon exertion.

A  “Are you urinating excessively at night?”

B  “Are you coughing up blood at night?”

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

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

A  Creatinine

B  Complete blood count (CBC)

C  Brain natriuretic peptide (BNP)

D  Blood urea nitrogen (BUN)