Chapter 29 Quiz

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

B  The client is experiencing heart failure.

C  The client shows signs of aneurysm rupture.

D  The client is going into cardiogenic shock.

A  Listening to breath sounds

B  End-tidal CO2

C  Pulse oximetry

D  Arterial blood gases

A  Ineffective right ventricular contraction

B  Cystic fibrosis

C  Myocardial ischemia

D  Pulmonary embolus

A  55%

B  40%

C  45%

D  50%

A  urine specific gravity.

B  weight.

C  vital signs.

D  fluid intake and output.

A  Titrate oxygen therapy.

B  Assess for jugular vein distention.

C  Assess the surgical incisional area.

D  Administer pain medication.

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  Decrease in central venous pressure (CVP)

C  Increase in CVP

D  Absence of cough

A  Increased pulmonary artery diastolic pressure

B  Decreased mean pulmonary artery pressure

C  Decreased central venous pressure

D  Increase in the cardiac index

A  increased blood volume ejected from ventricle

B  dehydration

C  decrease in renal perfusion

D  vasodilation of skin

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  jugular vein distention

B  ascites

C  pitting edema of the legs

D  air hunger

A  Atrial fibrillation

B  First-degree heart block

C  Supraventricular tachycardia

D  Sinus tachycardia

A   It reduces ventricular ejection volume.

B  It causes a loss of elasticity in the myocardium.

C  It increases afterload.

D   It increases preload.

A  Assess for reduced urine output.

B  Assess for elevated blood potassium levels.

C  Assess for elevated blood urea nitrogen levels.

D  Assess for reduced blood sodium levels.

A  Examine the client’s joints for crepitus.

B  Examine the client’s eyes for excess tears.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s neck for distended veins.

A  Acute pulmonary edema

B  Cardiogenic shock

C  Progressive heart failure

D  Pulmonary hypertension

A  have the client take deep breaths and cough

B   perform chest physiotherapy

C  administer oxygen

D  place the client in high Fowler’s position

A  increased left atrial contractility

B  decreased right ventricular elasticity

C  decreased left ventricular pumping

D  increased right atrial resistance

A  decreased renal perfusion

B  decreased left ventricular workload

C  decreased peripheral perfusion to the extremities

D  decreased right ventricular workload

A  Limited activities of daily living (ADLs)

B  Pulmonary congestion

C  Low ejection fraction (EF)

D  Basilar crackles

A  Hyperactive bowel sounds

B  Tissue hypoperfusion

C  Increased urinary output

D  High blood pressure

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  Accumulation of blood in the lungs

D  Systemic venous congestion

A  postural hypotension

B  peripheral edema

C  skin rash

D  dry cough

A  5%

B  30%

C  55%

D  65%

A  pedal edema

B  fatigue

C  irregular pulse

D  nocturia

A  spironolactone

B  mannitol

C  metolazone

D   furosemide

A  Jugular vein distention

B  Dyspnea

C  Ascites

D  Pulmonary crackles

E  Cough

A  3.2 mg/mL

B  0.25 mg/mL

C  4.0 mg/mL

D  2.0 mg/mL

A  Congestion in the peripheral tissues

B  Reduction in forward flow

C  Accumulation of blood in the lungs

D  Reduction in cardiac output

A  cardiac ultrasound

B  electrocardiogram

C  echocardiogram

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

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

A  blood pressure of 125/80

B  heart rate of 55 beats per minute

C  urine output of 300 mL in eight hours

D  atrial fibillation rhythm

A  captopril

B  enalapril

C  Natrecor

D  metoprolol

A  ascites

B  inadequate cardiac output

C  hepatomegaly

D  nocturia

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  decompensated heart failure with pulmonary edema.

D  tuberculosis.

A  Blood urea nitrogen (BUN)

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Serum electrolytes

A  No JVD is present.

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

C  JVD is noted 2 cm above the sternal angle.

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

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

A  taste and smell alterations.

B  visual disturbances.

C  nocturia and sleep disturbances.

D  dry mouth and urine retention.

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  urine specific gravity.

B  vital signs.

C  weight.

D  fluid intake and output.

A  asking the client about comfort level

B  measuring intake and output

C  using mechanical ventilation

D  obtaining cardiac output with a pulmonary catheter

A  Listen for breath sounds over the epigastrium.

B  Observe for mist in the endotracheal tube.

C  Call for a chest x-ray.

D  Attach a pulse oximeter probe and obtain values.

A  Dopamine

B  Morphine sulfate

C  Furosemide

D  Nitroglycerin

A  Low-sodium diet

B  Low-potassium diet

C  Low-fat diet

D   Low-cholesterol 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  confusion

B  chest pain

C  anxiety

D  dyspnea on exertion

A  IV

B  II

C  I

D  III

A  Preload

B   Afterload

C  Stroke volume

D   Ejection fraction

A  nausea and vomiting

B  Vasculitis

C  Enlargement of joints

D  Flexion contractures

A  Pulmonary embolism

B  Heart failure

C  Tension pneumothorax

D  Cardiac tamponade

A  An echocardiogram

B  A ventriculogram

C  A chest x-ray

D  An electrocardiogram

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  Dyspnea on exertion

B  Decreased urinary output

C  Tachycardia

D  Hypotension

A  Increased urine output

B  Gradual unexplained weight gain

C  Sleeping in a chair or recliner

D  Increased perspiration

A  Amlodipine

B  Digoxin immune FAB

C  Ibuprofen

D  Warfarin

A  Nocturia

B  Tachycardia

C  Ascites

D  Dizziness

A  a third heart sound (S3).

B  a fourth heart sound (S4).

C  a murmur.

D  a first heart sound (S1).

A   Lung sounds

B  Arterial blood gas (ABG) analysis

C  Pulse oximetry

D  Skin color assessment

A  Increased urinary output

B  Restlessness and confusion

C  Hyperactive bowel sounds

D  High blood pressure

A  dyspnea upon exertion.

B  paroxysmal nocturnal dyspnea.

C  hyperpnea.

D  orthopnea.

A  “Are you coughing up blood at night?”

B  “Are you urinating excessively at night?”

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

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

A  Creatinine

B  Brain natriuretic peptide (BNP)

C  Complete blood count (CBC)

D  Blood urea nitrogen (BUN)