Chapter 29 Quiz

A  The client is going into cardiogenic shock.

B  The client is experiencing heart failure.

C  The client shows signs of aneurysm rupture.

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

A  Listening to breath sounds

B  Arterial blood gases

C  End-tidal CO2

D  Pulse oximetry

A  Cystic fibrosis

B  Ineffective right ventricular contraction

C  Myocardial ischemia

D  Pulmonary embolus

A  45%

B  55%

C  40%

D  50%

A  urine specific gravity.

B  weight.

C  fluid intake and output.

D  vital signs.

A  Administer pain medication.

B  Assess for jugular vein distention.

C  Titrate oxygen therapy.

D  Assess the surgical incisional area.

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

B  Administer the third sublingual nitroglycerin tablet.

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

D  Notify the health care provider of the chest pain.

A  Decrease in blood pressure

B  Decrease in central venous pressure (CVP)

C  Absence of cough

D  Increase in CVP

A  Decreased central venous pressure

B  Decreased mean pulmonary artery pressure

C  Increased pulmonary artery diastolic pressure

D  Increase in the cardiac index

A  dehydration

B  vasodilation of skin

C  decrease in renal perfusion

D  increased blood volume ejected from ventricle

A  sustained elevation of the client’s legs

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

C  application of antiembolytic stockings

D  increasing activity

A  jugular vein distention

B  air hunger

C  ascites

D  pitting edema of the legs

A  Atrial fibrillation

B  Sinus tachycardia

C  First-degree heart block

D  Supraventricular tachycardia

A  It increases afterload.

B  It causes a loss of elasticity in the myocardium.

C   It increases preload.

D   It reduces ventricular ejection volume.

A  Assess for elevated blood potassium levels.

B  Assess for elevated blood urea nitrogen levels.

C  Assess for reduced blood sodium levels.

D  Assess for reduced urine output.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s neck for distended veins.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s joints for crepitus.

A  Progressive heart failure

B  Acute pulmonary edema

C  Cardiogenic shock

D  Pulmonary hypertension

A  administer oxygen

B  have the client take deep breaths and cough

C  place the client in high Fowler’s position

D   perform chest physiotherapy

A  decreased right ventricular elasticity

B  increased left atrial contractility

C  increased right atrial resistance

D  decreased left ventricular pumping

A  decreased right ventricular workload

B  decreased peripheral perfusion to the extremities

C  decreased left ventricular workload

D  decreased renal perfusion

A  Basilar crackles

B  Low ejection fraction (EF)

C  Pulmonary congestion

D  Limited activities of daily living (ADLs)

A  High blood pressure

B  Hyperactive bowel sounds

C  Tissue hypoperfusion

D  Increased urinary output

A  Increased perspiration

B  Gradual unexplained weight gain

C  Increased urine output

D  Sleeping in a chair or recliner

A  Accumulation of blood in the lungs

B  Systemic venous congestion

C  Reduction in cardiac output

D  Reduction in forward flow

A  postural hypotension

B  peripheral edema

C  skin rash

D  dry cough

A  55%

B  5%

C  65%

D  30%

A  pedal edema

B  nocturia

C  irregular pulse

D  fatigue

A  spironolactone

B  mannitol

C  metolazone

D   furosemide

A  Pulmonary crackles

B  Cough

C  Dyspnea

D  Ascites

E  Jugular vein distention

A  2.0 mg/mL

B  3.2 mg/mL

C  4.0 mg/mL

D  0.25 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  cardiac catheterization

B  echocardiogram

C  electrocardiogram

D  cardiac ultrasound

A  sodium level of 152 mEq/L

B  magnesium level of 2.5 mg/dL

C  calcium level of 7.5 mg/dL

D  potassium level of 2.8 mEq/L

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

D  Detectable depression of less than 5 mm 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  urine output of 300 mL in eight hours

D  blood pressure of 125/80

A  metoprolol

B  Natrecor

C  captopril

D  enalapril

A  inadequate cardiac output

B  hepatomegaly

C  nocturia

D  ascites

A   acute exacerbation of chronic obstructive pulmonary disease.

B  bilateral pneumonia.

C  decompensated heart failure with pulmonary edema.

D  tuberculosis.

A  Serum electrolytes

B   Echocardiogram

C  Electrocardiogram (ECG)

D  Blood urea nitrogen (BUN)

A  JVD is noted 4 cm above the sternal angle.

B  No JVD is present.

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

D  JVD is noted 2 cm above the sternal angle.

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

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

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

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

A  nocturia and sleep disturbances.

B  dry mouth and urine retention.

C  taste and smell alterations.

D  visual disturbances.

A  Weighing the client daily at the same time each day

B  Assessing the client’s vital signs every 4 hours

C  Measuring and recording fluid intake and output

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

A  vital signs.

B  urine specific gravity.

C  fluid intake and output.

D  weight.

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  Listen for breath sounds over the epigastrium.

B  Attach a pulse oximeter probe and obtain values.

C  Call for a chest x-ray.

D  Observe for mist in the endotracheal tube.

A  Morphine sulfate

B  Nitroglycerin

C  Furosemide

D  Dopamine

A  Low-potassium diet

B   Low-cholesterol diet

C  Low-fat diet

D  Low-sodium diet

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

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

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

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

A  chest pain

B  dyspnea on exertion

C  anxiety

D  confusion

A  II

B  III

C  I

D  IV

A  Stroke volume

B   Afterload

C  Preload

D   Ejection fraction

A  Flexion contractures

B  Vasculitis

C  nausea and vomiting

D  Enlargement of joints

A  Pulmonary embolism

B  Tension pneumothorax

C  Heart failure

D  Cardiac tamponade

A  An echocardiogram

B  A chest x-ray

C  A ventriculogram

D  An electrocardiogram

A  Cough

B  Dyspnea

C  Pulmonary crackles

D  Jugular vein distention (JVD)

A  Enlargement of joints

B  Potassium levels

C  Flexion contractures

D  Vasculitis

A  Dyspnea on exertion

B  Tachycardia

C  Hypotension

D  Decreased urinary output

A  Increased perspiration

B  Increased urine output

C  Sleeping in a chair or recliner

D  Gradual unexplained weight gain

A  Amlodipine

B  Digoxin immune FAB

C  Warfarin

D  Ibuprofen

A  Dizziness

B  Tachycardia

C  Nocturia

D  Ascites

A  a third heart sound (S3).

B  a fourth heart sound (S4).

C  a first heart sound (S1).

D  a murmur.

A  Pulse oximetry

B   Lung sounds

C  Skin color assessment

D  Arterial blood gas (ABG) analysis

A  Increased urinary output

B  Restlessness and confusion

C  High blood pressure

D  Hyperactive bowel sounds

A  orthopnea.

B  hyperpnea.

C  dyspnea upon exertion.

D  paroxysmal nocturnal dyspnea.

A  “Are you coughing up blood at night?”

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

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

D  “Are you urinating excessively at night?”

A  Complete blood count (CBC)

B  Brain natriuretic peptide (BNP)

C  Blood urea nitrogen (BUN)

D  Creatinine