Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client is going into cardiogenic shock.

C  The client shows signs of aneurysm rupture.

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

A  Pulse oximetry

B  Arterial blood gases

C  Listening to breath sounds

D  End-tidal CO2

A  Pulmonary embolus

B  Cystic fibrosis

C  Ineffective right ventricular contraction

D  Myocardial ischemia

A  55%

B  40%

C  50%

D  45%

A  vital signs.

B  urine specific gravity.

C  weight.

D  fluid intake and output.

A  Assess for jugular vein distention.

B  Titrate oxygen therapy.

C  Assess the surgical incisional area.

D  Administer pain medication.

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

B  Notify the health care provider of the chest pain.

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

D  Administer the third sublingual nitroglycerin tablet.

A  Decrease in central venous pressure (CVP)

B  Decrease in blood pressure

C  Increase in CVP

D  Absence of cough

A  Increase in the cardiac index

B  Decreased mean pulmonary artery pressure

C  Decreased central venous pressure

D  Increased pulmonary artery diastolic pressure

A  dehydration

B  decrease in renal perfusion

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  pitting edema of the legs

B  ascites

C  air hunger

D  jugular vein distention

A  Sinus tachycardia

B  Supraventricular tachycardia

C  First-degree heart block

D  Atrial fibrillation

A  It increases afterload.

B  It causes a loss of elasticity in the myocardium.

C   It reduces ventricular ejection volume.

D   It increases preload.

A  Assess for elevated blood urea nitrogen levels.

B  Assess for elevated blood potassium levels.

C  Assess for reduced urine output.

D  Assess for reduced blood sodium levels.

A  Examine the client’s joints for crepitus.

B  Monitor the client for signs of lethargy or confusion.

C  Examine the client’s neck for distended veins.

D  Examine the client’s eyes for excess tears.

A  Cardiogenic shock

B  Acute pulmonary edema

C  Progressive heart failure

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  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 renal perfusion

D  decreased left ventricular workload

A  Basilar crackles

B  Pulmonary congestion

C  Limited activities of daily living (ADLs)

D  Low ejection fraction (EF)

A  Tissue hypoperfusion

B  Increased urinary output

C  High blood pressure

D  Hyperactive bowel sounds

A  Sleeping in a chair or recliner

B  Gradual unexplained weight gain

C  Increased perspiration

D  Increased urine output

A  Reduction in forward flow

B  Reduction in cardiac output

C  Systemic venous congestion

D  Accumulation of blood in the lungs

A  dry cough

B  skin rash

C  peripheral edema

D  postural hypotension

A  55%

B  30%

C  5%

D  65%

A  nocturia

B  irregular pulse

C  fatigue

D  pedal edema

A  spironolactone

B  metolazone

C  mannitol

D   furosemide

A  Dyspnea

B  Ascites

C  Pulmonary crackles

D  Cough

E  Jugular vein distention

A  4.0 mg/mL

B  0.25 mg/mL

C  2.0 mg/mL

D  3.2 mg/mL

A  Reduction in forward flow

B  Congestion in the peripheral tissues

C  Accumulation of blood in the lungs

D  Reduction in cardiac output

A  cardiac ultrasound

B  electrocardiogram

C  echocardiogram

D  cardiac catheterization

A  magnesium level of 2.5 mg/dL

B  sodium level of 152 mEq/L

C  calcium level of 7.5 mg/dL

D  potassium level of 2.8 mEq/L

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

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

A  blood pressure of 125/80

B  atrial fibillation rhythm

C  urine output of 300 mL in eight hours

D  heart rate of 55 beats per minute

A  enalapril

B  metoprolol

C  Natrecor

D  captopril

A  hepatomegaly

B  inadequate cardiac output

C  nocturia

D  ascites

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  tuberculosis.

D  decompensated heart failure with pulmonary edema.

A  Electrocardiogram (ECG)

B  Serum electrolytes

C   Echocardiogram

D  Blood urea nitrogen (BUN)

A  JVD is noted 2 cm above the sternal angle.

B  JVD is noted 4 cm above the sternal angle.

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

D  No JVD is present.

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

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

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

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

A  dry mouth and urine retention.

B  taste and smell alterations.

C  visual disturbances.

D  nocturia and sleep disturbances.

A  Assessing the client’s vital signs every 4 hours

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

C  Measuring and recording fluid intake and output

D  Weighing the client daily at the same time each day

A  fluid intake and output.

B  weight.

C  urine specific gravity.

D  vital signs.

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  Observe for mist in the endotracheal tube.

B  Listen for breath sounds over the epigastrium.

C  Attach a pulse oximeter probe and obtain values.

D  Call for a chest x-ray.

A  Furosemide

B  Morphine sulfate

C  Dopamine

D  Nitroglycerin

A  Low-potassium diet

B  Low-fat diet

C  Low-sodium diet

D   Low-cholesterol diet

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

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

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

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

A  anxiety

B  confusion

C  dyspnea on exertion

D  chest pain

A  I

B  II

C  III

D  IV

A  Preload

B   Ejection fraction

C   Afterload

D  Stroke volume

A  Vasculitis

B  Flexion contractures

C  nausea and vomiting

D  Enlargement of joints

A  Pulmonary embolism

B  Cardiac tamponade

C  Tension pneumothorax

D  Heart failure

A  An echocardiogram

B  A chest x-ray

C  A ventriculogram

D  An electrocardiogram

A  Pulmonary crackles

B  Dyspnea

C  Cough

D  Jugular vein distention (JVD)

A  Potassium levels

B  Flexion contractures

C  Enlargement of joints

D  Vasculitis

A  Tachycardia

B  Hypotension

C  Decreased urinary output

D  Dyspnea on exertion

A  Sleeping in a chair or recliner

B  Increased perspiration

C  Gradual unexplained weight gain

D  Increased urine output

A  Warfarin

B  Amlodipine

C  Ibuprofen

D  Digoxin immune FAB

A  Dizziness

B  Tachycardia

C  Nocturia

D  Ascites

A  a third heart sound (S3).

B  a first heart sound (S1).

C  a murmur.

D  a fourth heart sound (S4).

A   Lung sounds

B  Pulse oximetry

C  Arterial blood gas (ABG) analysis

D  Skin color assessment

A  Increased urinary output

B  Restlessness and confusion

C  High blood pressure

D  Hyperactive bowel sounds

A  orthopnea.

B  paroxysmal nocturnal dyspnea.

C  dyspnea upon exertion.

D  hyperpnea.

A  “Are you coughing up blood at night?”

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

C  “Are you urinating excessively at night?”

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

A  Complete blood count (CBC)

B  Creatinine

C  Brain natriuretic peptide (BNP)

D  Blood urea nitrogen (BUN)