Chapter 29 Quiz

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

B  The client is going into cardiogenic shock.

C  The client shows signs of aneurysm rupture.

D  The client is experiencing heart failure.

A  Pulse oximetry

B  End-tidal CO2

C  Listening to breath sounds

D  Arterial blood gases

A  Ineffective right ventricular contraction

B  Pulmonary embolus

C  Cystic fibrosis

D  Myocardial ischemia

A  40%

B  55%

C  50%

D  45%

A  urine specific gravity.

B  fluid intake and output.

C  weight.

D  vital signs.

A  Assess for jugular vein distention.

B  Assess the surgical incisional area.

C  Administer pain medication.

D  Titrate oxygen therapy.

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

B  Administer the third sublingual nitroglycerin tablet.

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

D  Notify the health care provider of the chest pain.

A  Absence of cough

B  Decrease in blood pressure

C  Decrease in central venous pressure (CVP)

D  Increase in CVP

A  Increased pulmonary artery diastolic pressure

B  Increase in the cardiac index

C  Decreased central venous pressure

D  Decreased mean pulmonary artery pressure

A  decrease in renal perfusion

B  dehydration

C  increased blood volume ejected from ventricle

D  vasodilation of skin

A  increasing activity

B  application of antiembolytic stockings

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

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  Sinus tachycardia

D  Atrial fibrillation

A   It increases preload.

B  It causes a loss of elasticity in the myocardium.

C  It increases afterload.

D   It reduces ventricular ejection volume.

A  Assess for elevated blood potassium levels.

B  Assess for reduced urine output.

C  Assess for elevated blood urea nitrogen levels.

D  Assess for reduced blood sodium levels.

A  Monitor the client for signs of lethargy or confusion.

B  Examine the client’s joints for crepitus.

C  Examine the client’s eyes for excess tears.

D  Examine the client’s neck for distended veins.

A  Cardiogenic shock

B  Pulmonary hypertension

C  Progressive heart failure

D  Acute pulmonary edema

A   perform chest physiotherapy

B  place the client in high Fowler’s position

C  administer oxygen

D  have the client take deep breaths and cough

A  increased left atrial contractility

B  decreased left ventricular pumping

C  decreased right ventricular elasticity

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  Low ejection fraction (EF)

C  Limited activities of daily living (ADLs)

D  Basilar crackles

A  Tissue hypoperfusion

B  Increased urinary output

C  High blood pressure

D  Hyperactive bowel sounds

A  Gradual unexplained weight gain

B  Sleeping in a chair or recliner

C  Increased urine output

D  Increased perspiration

A  Reduction in cardiac output

B  Reduction in forward flow

C  Systemic venous congestion

D  Accumulation of blood in the lungs

A  dry cough

B  postural hypotension

C  skin rash

D  peripheral edema

A  30%

B  5%

C  65%

D  55%

A  fatigue

B  pedal edema

C  irregular pulse

D  nocturia

A  mannitol

B   furosemide

C  spironolactone

D  metolazone

A  Ascites

B  Jugular vein distention

C  Cough

D  Dyspnea

E  Pulmonary crackles

A  2.0 mg/mL

B  0.25 mg/mL

C  4.0 mg/mL

D  3.2 mg/mL

A  Accumulation of blood in the lungs

B  Congestion in the peripheral tissues

C  Reduction in cardiac output

D  Reduction in forward flow

A  cardiac catheterization

B  electrocardiogram

C  cardiac ultrasound

D  echocardiogram

A  calcium level of 7.5 mg/dL

B  sodium level of 152 mEq/L

C  potassium level of 2.8 mEq/L

D  magnesium level of 2.5 mg/dL

A   A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling

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

A  heart rate of 55 beats per minute

B  urine output of 300 mL in eight hours

C  atrial fibillation rhythm

D  blood pressure of 125/80

A  enalapril

B  captopril

C  metoprolol

D  Natrecor

A  hepatomegaly

B  ascites

C  inadequate cardiac output

D  nocturia

A  tuberculosis.

B  decompensated heart failure with pulmonary edema.

C   acute exacerbation of chronic obstructive pulmonary disease.

D  bilateral pneumonia.

A  Blood urea nitrogen (BUN)

B  Electrocardiogram (ECG)

C  Serum electrolytes

D   Echocardiogram

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

B  JVD is noted 2 cm above the sternal angle.

C  No JVD is present.

D  JVD is noted 4 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  Checking the client’s lungs for crackles during every shift

B  Assessing the client’s vital signs every 4 hours

C  Weighing the client daily at the same time each day

D  Measuring and recording fluid intake and output

A  vital signs.

B  weight.

C  fluid intake and output.

D  urine specific gravity.

A  asking the client about comfort level

B  measuring intake and output

C  obtaining cardiac output with a pulmonary catheter

D  using mechanical ventilation

A  Call for a chest x-ray.

B  Listen for breath sounds over the epigastrium.

C  Attach a pulse oximeter probe and obtain values.

D  Observe for mist in the endotracheal tube.

A  Morphine sulfate

B  Furosemide

C  Nitroglycerin

D  Dopamine

A  Low-potassium diet

B   Low-cholesterol diet

C  Low-fat diet

D  Low-sodium diet

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

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

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  chest pain

B  confusion

C  anxiety

D  dyspnea on exertion

A  III

B  I

C  IV

D  II

A   Ejection fraction

B   Afterload

C  Preload

D  Stroke volume

A  nausea and vomiting

B  Flexion contractures

C  Enlargement of joints

D  Vasculitis

A  Pulmonary embolism

B  Heart failure

C  Cardiac tamponade

D  Tension pneumothorax

A  A ventriculogram

B  An electrocardiogram

C  An echocardiogram

D  A chest x-ray

A  Dyspnea

B  Cough

C  Jugular vein distention (JVD)

D  Pulmonary crackles

A  Potassium levels

B  Vasculitis

C  Enlargement of joints

D  Flexion contractures

A  Decreased urinary output

B  Dyspnea on exertion

C  Hypotension

D  Tachycardia

A  Increased urine output

B  Sleeping in a chair or recliner

C  Gradual unexplained weight gain

D  Increased perspiration

A  Warfarin

B  Digoxin immune FAB

C  Ibuprofen

D  Amlodipine

A  Nocturia

B  Tachycardia

C  Dizziness

D  Ascites

A  a third heart sound (S3).

B  a first heart sound (S1).

C  a fourth heart sound (S4).

D  a murmur.

A  Skin color assessment

B   Lung sounds

C  Pulse oximetry

D  Arterial blood gas (ABG) analysis

A  Restlessness and confusion

B  High blood pressure

C  Increased urinary output

D  Hyperactive bowel sounds

A  hyperpnea.

B  orthopnea.

C  paroxysmal nocturnal dyspnea.

D  dyspnea upon exertion.

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

B  “Are you urinating excessively at night?”

C  “Are you coughing up blood at night?”

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

A  Blood urea nitrogen (BUN)

B  Creatinine

C  Complete blood count (CBC)

D  Brain natriuretic peptide (BNP)