Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client shows signs of aneurysm rupture.

C  The client is going into cardiogenic shock.

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

A  Pulse oximetry

B  Listening to breath sounds

C  Arterial blood gases

D  End-tidal CO2

A  Pulmonary embolus

B  Cystic fibrosis

C  Myocardial ischemia

D  Ineffective right ventricular contraction

A  55%

B  50%

C  40%

D  45%

A  urine specific gravity.

B  fluid intake and output.

C  vital signs.

D  weight.

A  Titrate oxygen therapy.

B  Administer pain medication.

C  Assess the surgical incisional area.

D  Assess for jugular vein distention.

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

B  Notify the health care provider of the chest 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  Absence of cough

C  Decrease in central venous pressure (CVP)

D  Increase in CVP

A  Decreased mean pulmonary artery pressure

B  Increased pulmonary artery diastolic pressure

C  Increase in the cardiac index

D  Decreased central venous pressure

A  vasodilation of skin

B  increased blood volume ejected from ventricle

C  dehydration

D  decrease in renal perfusion

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

B  increasing activity

C  sustained elevation of the client’s legs

D  application of antiembolytic stockings

A  ascites

B  air hunger

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 causes a loss of elasticity in the myocardium.

B   It increases preload.

C   It reduces ventricular ejection volume.

D  It increases afterload.

A  Assess for reduced urine output.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for elevated blood potassium 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  Pulmonary hypertension

D  Progressive heart failure

A  place the client in high Fowler’s position

B   perform chest physiotherapy

C  have the client take deep breaths and cough

D  administer oxygen

A  decreased right ventricular elasticity

B  increased left atrial contractility

C  decreased left ventricular pumping

D  increased right atrial resistance

A  decreased right ventricular workload

B  decreased renal perfusion

C  decreased left ventricular workload

D  decreased peripheral perfusion to the extremities

A  Limited activities of daily living (ADLs)

B  Basilar crackles

C  Low ejection fraction (EF)

D  Pulmonary congestion

A  Tissue hypoperfusion

B  Hyperactive bowel sounds

C  Increased urinary output

D  High blood pressure

A  Increased urine output

B  Sleeping in a chair or recliner

C  Gradual unexplained weight gain

D  Increased perspiration

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  dry cough

C  skin rash

D  peripheral edema

A  5%

B  65%

C  30%

D  55%

A  fatigue

B  nocturia

C  irregular pulse

D  pedal edema

A  spironolactone

B   furosemide

C  metolazone

D  mannitol

A  Ascites

B  Jugular vein distention

C  Pulmonary crackles

D  Cough

E  Dyspnea

A  4.0 mg/mL

B  2.0 mg/mL

C  0.25 mg/mL

D  3.2 mg/mL

A  Congestion in the peripheral tissues

B  Accumulation of blood in the lungs

C  Reduction in cardiac output

D  Reduction in forward flow

A  echocardiogram

B  cardiac catheterization

C  electrocardiogram

D  cardiac ultrasound

A  sodium level of 152 mEq/L

B  potassium level of 2.8 mEq/L

C  calcium level of 7.5 mg/dL

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

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

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

A  blood pressure of 125/80

B  urine output of 300 mL in eight hours

C  atrial fibillation rhythm

D  heart rate of 55 beats per minute

A  Natrecor

B  captopril

C  metoprolol

D  enalapril

A  ascites

B  nocturia

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  Serum electrolytes

D   Echocardiogram

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

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

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  nocturia and sleep disturbances.

B  visual disturbances.

C  taste and smell alterations.

D  dry mouth and urine retention.

A  Assessing the client’s vital signs every 4 hours

B  Weighing the client daily at the same time each day

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

D  Measuring and recording fluid intake and output

A  fluid intake and output.

B  weight.

C  vital signs.

D  urine specific gravity.

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  Attach a pulse oximeter probe and obtain values.

B  Observe for mist in the endotracheal tube.

C  Call for a chest x-ray.

D  Listen for breath sounds over the epigastrium.

A  Nitroglycerin

B  Dopamine

C  Morphine sulfate

D  Furosemide

A   Low-cholesterol diet

B  Low-fat diet

C  Low-sodium diet

D  Low-potassium diet

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

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

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

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

A  confusion

B  chest pain

C  anxiety

D  dyspnea on exertion

A  III

B  II

C  IV

D  I

A   Ejection fraction

B   Afterload

C  Preload

D  Stroke volume

A  nausea and vomiting

B  Vasculitis

C  Flexion contractures

D  Enlargement of joints

A  Cardiac tamponade

B  Tension pneumothorax

C  Heart failure

D  Pulmonary embolism

A  An echocardiogram

B  A chest x-ray

C  A ventriculogram

D  An electrocardiogram

A  Pulmonary crackles

B  Cough

C  Jugular vein distention (JVD)

D  Dyspnea

A  Vasculitis

B  Enlargement of joints

C  Flexion contractures

D  Potassium levels

A  Hypotension

B  Decreased urinary output

C  Dyspnea on exertion

D  Tachycardia

A  Increased perspiration

B  Sleeping in a chair or recliner

C  Gradual unexplained weight gain

D  Increased urine output

A  Warfarin

B  Digoxin immune FAB

C  Amlodipine

D  Ibuprofen

A  Dizziness

B  Nocturia

C  Tachycardia

D  Ascites

A  a murmur.

B  a fourth heart sound (S4).

C  a third heart sound (S3).

D  a first heart sound (S1).

A  Skin color assessment

B  Pulse oximetry

C  Arterial blood gas (ABG) analysis

D   Lung sounds

A  Increased urinary output

B  Restlessness and confusion

C  Hyperactive bowel sounds

D  High blood pressure

A  orthopnea.

B  paroxysmal nocturnal dyspnea.

C  hyperpnea.

D  dyspnea upon exertion.

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  Complete blood count (CBC)

B  Brain natriuretic peptide (BNP)

C  Creatinine

D  Blood urea nitrogen (BUN)