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Week 10 CON
Week 10 Collaborative Care of Heart Failure
| Question | Answer |
|---|---|
| A critically ill patient with acute decompensated heart failure (ADHF) arrives at “What is allowing his heart to rest and not work so hard?” Which response by the nurse best explains the intervention most responsible for that aspect of the plan of care? | Ventricular assist device (VAD) |
| A patient with acute decompensated heart failure (ADHF) is experiencing significant volume overload, dyspnea, and pulmonary edema. The patient is currently in Fowler’s position on .. The nurse understands that which intervention would likely be ordered? | Ultrafiltration |
| A patient with heart failure (HF) is at a follow-up appointment after being discharged from the hospital 10 days ago. The patient complains of fatigue and dyspnea, Which nursing intervention appropriately addresses the symptoms of this patient? | Oxygen therapy |
| The nurse is reviewing the discharge materials and new prescriptions for a patient who was admitted for acute decompensated heart failure (ADHF). Which drug prescription would be a cause for concern for the nurse? | Sodium nitroprusside |
| An African American patient is diagnosed with heart failure (HF) and prescribed drug therapy. Which drug orders would the nurse question? | Isosorbide dinitrate/hydralazine HCl as an initial therapy |
| A patient with chronic heart failure (HF) has been hospitalized due to increased difficulty breathing and significant lower extremity . Which rationale is accurate regarding the use of metoprolol in the management of chronic HF? | Metoprolol blocks the negative effects of the sympathetic nervous system on the failing heart. |
| A nurse is caring for a patient with chronic heart failure (HF) who is on dietary restrictions to manage fluid overload. Which food would the nurse suggest that the patient choose? | Hamburger |
| A patient with heart failure (HF) presents to the clinic for a follow-up visit. The patient brought in a food diary from the previous week. In regard to the diary entries, which food choices demonstrate that the patient needs further education? | - Canned soup - Large buffet meals - Frequent fast food meals |
| Which nursing education point is accurate regarding weight management in the patient with chronic heart failure (HF)? | Patients should weigh themselves daily, at the same time each day. |
| A patient with acute decompensated heart failure (ADHF) is admitted to the unit. About which orders should the nurse ask for clarification? | - Regular diet - Normal saline IV bolus - Vital signs every 4 hours |
| A patient with heart failure (HF) is experiencing dyspnea and reports not being able to perform their tasks of daily living due to the symptoms. What nondrug recommendation by the nurse is appropriate for the care of this patient? | “Take some time off work and rest.” |
| A patient with heart failure (HF) is admitted to the hospital, put on bed rest, administered oxygen, and treated with an angiotensin-converting enzyme (ACE) inhibi Which statements by the patient indicate that the collaborative care goals have been met? | “It is much easier to breathe.” - “I am able to walk to and from the restroom much easier now.” - “I have been taking this medication as ordered since it was prescribed.” |
| A patient with heart failure (HF) is being discharged with new medications and oxygen therapy. The patient reports still feeling weak and expresses concern . About which collaborative care option should the nurse educate the patient? | Home health referral |
| Which laboratory result will the nurse assess prior to administering spironolactone to a patient with chronic heart failure (HF)? | Potassium |
| A patient with acute decompensated heart failure (ADHF) is admitted to the cardiac care unit and is prescribed furosemide 40 mg intravenous push STAT, How much of the drug should be drawn up in order to deliver the correct dose? | 4 mL |
| A patient with acute decompensated heart failure (ADHF) is receiving digoxin intravenously. Which assessment finding would the nurse expect if the medication is having a therapeutic effect? | Increased myocardial contractility |
| A nurse and patient are developing a comprehensive care plan for treating the patient’s heart failure (HF). The patient asks why it is necessary to monitor sodium intake. Which response by the nurse is best? | Sodium allows the body to retain more fluid. |
| Which foods should a patient taking a loop diuretic for management of chronic heart failure (HF) be encouraged to eat? | Bananas - Dried fruit - Orange juice |
| The nurse is preparing teaching for a patient hospitalized with severe heart failure (HF) with secondary renal insufficiency. Which will be important to include in the teaching plan regarding diet prior to discharge? | Limit fluid intake to 2 L per 24 hours. |
Created by:
Brandi Sizemore
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