Chapter 26. Nursing Care of Patients With Heart Failure

Chapter 26. Nursing Care of Patients With Heart Failure

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   The nurse is collecting data from a patient who is receiving digoxin (Lanoxin), 0.125 mg daily. Which finding should indicate to the nurse that the patient is experiencing side effects of the medication?

____     2.   A patient is taking bumetanide (Bumex). What is the most important for the nurse to monitor in this patient?

____     3.   A patient is diagnosed with a heart problem that affects preload. How should the nurse describe preload to the patient?

____     4.   The nurse provides morphine as prescribed to a patient experiencing anxiety, dyspnea, diaphoresis; retractions; pink, frothy sputum; blood pressure 174/86 mm Hg; pulse 116 beats/min; and respirations 32/min. Which finding should the nurse consider as desirable after receiving the morphine?

____     5.   A patient who is to receive bumetanide (Bumex) in 1 hour has less ankle edema and neck vein distention than earlier. What action should the nurse take?

MULTIPLE CHOICE

1. ANS:  A

Bradycardia is an adverse effect of digoxin. The apical pulse is taken for 1 minute prior to administration. B. C. D. These are not adverse effects of digoxin.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

2. ANS:  D

Hypokalemia can occur with bumetanide (potassium-wasting diuretic), which is why potassium levels are monitored before administration of the medication. Mild hypokalemia is often asymptomatic but can cause a rise in blood pressure or cardiac dysrhythmias. Moderate hypokalemia can cause muscle weakness, muscle cramping, and constipation. A. A change in skin turgor could indicate dehydration however this is not the most important for the nurse to monitor in this patient. B. C. These findings do not indicate an adverse effect of the medication.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

3. ANS:  B

The fluid volume returning to the heart (preload) causes stretch in ventricles before systole. The more fluid there is, the greater the stretch can be. A. C. D. These statements do not describe preload.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

4. ANS:  B

Morphine reduces preload, afterload, and anxiety. Reduced blood pressure reflects a desired effect of the morphine. A. C. D. These are undesired effects from the morphine.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

5. ANS:  D

The nurse should give the medication as prescribed since the desired effect is to reduce ankle edema and prevent it from occurring. A. B. C. There is no reason to hold the medication, give it early, or to notify the RN.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application