Chapter 20: Care of Patients with Cardiac Disorders

Chapter 20: Care of Patients with Cardiac Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse would anticipate that the patient with right-sided heart failure would exhibit:

ANS:  C

Edema from the systemic backup would be the most significant sign. Wheezing, orthopnea, and pallor are indicative of left-sided failure.

DIF:    Cognitive Level: Comprehension     REF:   428 | Table 20-2

OBJ:   1 (theory)       TOP:   Heart Failure: Right Side

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

2. The nurse anticipates that, on auscultation of the chest of an older adult with left-sided congestive heart failure (CHF), the major adventitious sound will be:

ANS:  A

Wheezing will be the overriding sound.

DIF:    Cognitive Level: Application           REF:   428 | Table 20-2

OBJ:   1 (theory)       TOP:   CHF: Signs     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

3. The nurse explains to the patient that the implanted cardioverter-defibrillator (ICD) will:

ANS:  A

The ICD recognizes a correctable rhythm and shocks the heart back into a sinus rhythm.

DIF:    Cognitive Level: Comprehension     REF:   442                OBJ:   2 (clinical)

TOP:   ICD                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. The patient with severe congestive heart failure (CHF) does not want to take the morphine ordered, stating that he is not in pain and he is fearful of becoming addicted. The nurse can allay anxiety by explaining that the morphine:

ANS:  C

The primary purpose of morphine is its relief of air hunger and anxiety. NSAIDs do not have the same vasodilation properties as morphine. In the event the patient cannot tolerate the prescribed medication, morphine is not the only drug that can be used.

DIF:    Cognitive Level: Application           REF:   430                OBJ:   4 (clinical)

TOP:   CHF Treatment: Morphine               KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

5. The nurse caring for a patient with congestive heart failure (CHF) will include which intervention in the plan of care?

ANS:  D

Alternating rest with activity preserves the patient’s energy. Patients are more comfortable in semi-Fowler’s position to ease breathing and should eat small meals that are easy to chew and use less energy.

DIF:    Cognitive Level: Application           REF:   433                OBJ:   1 (clinical)

TOP:   CHF: Nursing Care                          KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort