Chapter 25--Heart Failure and Inflammatory Dysfunction: Nursing Management

Chapter 25–Heart Failure and Inflammatory Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse suspects a client’s heart is failing when which of the following heart sounds is assessed?

ANS:  3

An auscultated S₃ is a sign that increased blood volume remains in the ventricle with each beat and that the heart is beginning to fail. S₁ and S₂ sounds are the first and second sounds heard when auscultating the heart. An S₄ sound may indicate increased resistance to ventricular filling.

PTS:   1                    DIF:    Analyze         REF:   Assessment with Clinical Manifestations

2. A client is diagnosed with heart failure. Which of the following diagnostic tests is useful to determine the degree of the failure?

ANS:  1

Brain natriuretic peptide is a hormone found in the left ventricle; it is used to help diagnose and grade the severity of heart failure. Blood cultures are used to diagnose carditis. Sedimentation rate is used to diagnose pericarditis. Arterial blood gasses are not used to determine the degree of heart failure.

PTS:   1                    DIF:    Analyze         REF:   Heart Failure: Diagnostic Tests

3. A nurse is instructing a client regarding medications and substances contraindicated for the client with heart failure. Which of the following would not be contraindicated?

ANS:  2

Loop diuretics (e.g., furosemide) are part of the recommended medications for heart failure. Alcohol, metformin, and pioglitazone (a thiazolidinedione) are contraindicated.

PTS:   1                    DIF:    Apply

REF:   Table 25-1 Recommended and Contraindicated Medications in Heart Failure

4. The nurse is determining nursing diagnoses appropriate for a client demonstrating productive cough with pink frothy sputum, shortness of breath, and crackles. Which of the following nursing diagnoses is of the most importance?

ANS:  3

The first priority is to maintain adequate oxygenation. The next diagnoses in priority would be risk for ineffective respiratory function. Activity intolerance would be the third diagnosis. Anxiety would be the last diagnosis in order of priority.

PTS:   1                    DIF:    Apply            REF:   Heart Failure: Nursing Diagnoses

5. In planning the care for a client diagnosed with heart failure, which of the following would be an appropriate goal?

ANS:  4

An increase in activity levels would be an appropriate goal for the client diagnosed with heart failure. The other options would be a decrease in ability, function, or management of the heart failure patient.

PTS:   1                    DIF:    Analyze         REF:   Heart Failure: Collaborative Management