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concept of nursing 1
Nursing Management of the Patient with Heart Failure
Question | Answer |
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A nurse is educating a patient about heart failure (HF). Which statement made by the patient demonstrates understanding of the disease? | “I may feel tired because of my decreased cardiac output.” |
A patient is admitted to the cardiac unit with shortness of breath, fatigue, and dizziness due to heart failure (HF). The patient states, “I just need to be able to walk without being so tired so I can go back to work.” | -- |
How can the nurse most appropriately teach the patient about lifestyle changes? | -Talk to the patient about diet and exercise changes -Ask the patient about what their ideal day would look like -Ask the patient’s family to participate in a patient teaching session |
A patient with heart failure (HF) is admitted to the hospital and the nurse is providing patient teaching. Which statement by the patient indicates that further education is necessary? | “We are retiring and moving to Phoenix, Arizona, to adopt a quiet, stress-free lifestyle.” |
A male patient’s acute decompensated heart failure has resolved and he is being transferred from the ICU to a medical floor. He is anxious that the nursing care won’t be as attentive on that floor and that his condition will worsen as a result. | -- |
Which is the nurse’s best response? | “The nurses will assess your vital signs and breathing pattern every 2 to 4 hours.” |
A patient on the medical unit with acute decompensated heart failure (ADHF) is becoming increasingly more dyspneic without relief from previous interventions. What is the most appropriate action by the nurse in the care of this patient? | Call the provider |
A patient is being seen in the clinic after being discharged with acute decompensated heart failure 2 weeks ago. The patient states, “I can’t do what I used to do, so I just spend a lot of time by myself.” Which is the best response by the nurse? | “Do you feel sad or down?” |