Chapter 29 Quiz

A  The client is experiencing heart failure.

B  The client shows signs of aneurysm rupture.

C  The client is in the early stage of right-sided heart failure.

D  The client is going into cardiogenic shock.

A  Listening to breath sounds

B  Pulse oximetry

C  End-tidal CO2

D  Arterial blood gases

A  Cystic fibrosis

B  Ineffective right ventricular contraction

C  Myocardial ischemia

D  Pulmonary embolus

A  45%

B  55%

C  50%

D  40%

A  vital signs.

B  urine specific gravity.

C  fluid intake and output.

D  weight.

A  Administer pain medication.

B  Assess for jugular vein distention.

C  Assess the surgical incisional area.

D  Titrate oxygen therapy.

A  Wait ten minutes after the second tablet to assess pain.

B  Notify the health care provider of the chest pain.

C  Hold any further treatment until the client’s blood pressure increases.

D  Administer the third sublingual nitroglycerin tablet.

A  Increase in CVP

B  Absence of cough

C  Decrease in central venous pressure (CVP)

D  Decrease in blood pressure

A  Increase in the cardiac index

B  Decreased mean pulmonary artery pressure

C  Increased pulmonary artery diastolic pressure

D  Decreased central venous pressure

A  increased blood volume ejected from ventricle

B  decrease in renal perfusion

C  dehydration

D  vasodilation of skin

A  administration of a vasodilating drug (as ordered by a health care provider)

B  increasing activity

C  application of antiembolytic stockings

D  sustained elevation of the client’s legs

A  jugular vein distention

B  ascites

C  pitting edema of the legs

D  air hunger

A  Sinus tachycardia

B  Atrial fibrillation

C  Supraventricular tachycardia

D  First-degree heart block

A  It increases afterload.

B   It increases preload.

C  It causes a loss of elasticity in the myocardium.

D   It reduces ventricular ejection volume.

A  Assess for reduced blood sodium levels.

B  Assess for reduced urine output.

C  Assess for elevated blood potassium levels.

D  Assess for elevated blood urea nitrogen levels.

A  Examine the client’s eyes for excess tears.

B  Examine the client’s joints for crepitus.

C  Monitor the client for signs of lethargy or confusion.

D  Examine the client’s neck for distended veins.

A  Cardiogenic shock

B  Progressive heart failure

C  Pulmonary hypertension

D  Acute pulmonary edema

A  have the client take deep breaths and cough

B  administer oxygen

C  place the client in high Fowler’s position

D   perform chest physiotherapy

A  increased right atrial resistance

B  decreased right ventricular elasticity

C  decreased left ventricular pumping

D  increased left atrial contractility

A  decreased peripheral perfusion to the extremities

B  decreased right ventricular workload

C  decreased left ventricular workload

D  decreased renal perfusion

A  Limited activities of daily living (ADLs)

B  Pulmonary congestion

C  Basilar crackles

D  Low ejection fraction (EF)

A  Tissue hypoperfusion

B  High blood pressure

C  Hyperactive bowel sounds

D  Increased urinary output

A  Increased urine output

B  Sleeping in a chair or recliner

C  Increased perspiration

D  Gradual unexplained weight gain

A  Accumulation of blood in the lungs

B  Reduction in forward flow

C  Reduction in cardiac output

D  Systemic venous congestion

A  peripheral edema

B  postural hypotension

C  skin rash

D  dry cough

A  5%

B  55%

C  65%

D  30%

A  pedal edema

B  irregular pulse

C  fatigue

D  nocturia

A  mannitol

B   furosemide

C  metolazone

D  spironolactone

A  Ascites

B  Cough

C  Pulmonary crackles

D  Jugular vein distention

E  Dyspnea

A  2.0 mg/mL

B  3.2 mg/mL

C  4.0 mg/mL

D  0.25 mg/mL

A  Reduction in cardiac output

B  Accumulation of blood in the lungs

C  Congestion in the peripheral tissues

D  Reduction in forward flow

A  cardiac ultrasound

B  cardiac catheterization

C  electrocardiogram

D  echocardiogram

A  calcium level of 7.5 mg/dL

B  sodium level of 152 mEq/L

C  potassium level of 2.8 mEq/L

D  magnesium level of 2.5 mg/dL

A  A 5- to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling

B   Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours

C  Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours

D   A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling

A  heart rate of 55 beats per minute

B  urine output of 300 mL in eight hours

C  blood pressure of 125/80

D  atrial fibillation rhythm

A  captopril

B  metoprolol

C  Natrecor

D  enalapril

A  hepatomegaly

B  nocturia

C  ascites

D  inadequate cardiac output

A   acute exacerbation of chronic obstructive pulmonary disease.

B  tuberculosis.

C  decompensated heart failure with pulmonary edema.

D  bilateral pneumonia.

A  Serum electrolytes

B  Blood urea nitrogen (BUN)

C  Electrocardiogram (ECG)

D   Echocardiogram

A  JVD is noted 2 cm above the sternal angle.

B  JVD is noted 4 cm above the sternal angle.

C  No JVD is present.

D  JVD is noted at the level of the sternal angle.

A  The pericardial space is eliminated with scar tissue and thickened pericardium.

B  Fibrin accumulation on the visceral pericardium infiltrates into the myocardium, creating generalized myocardial dysfunction.

C  The parietal and visceral pericardial membranes adhere to each other, preventing normal myocardial contraction.

D  Excess pericardial fluid compresses the heart and prevents adequate diastolic filling.

A  dry mouth and urine retention.

B  taste and smell alterations.

C  nocturia and sleep disturbances.

D  visual disturbances.

A  Measuring and recording fluid intake and output

B  Assessing the client’s vital signs every 4 hours

C  Checking the client’s lungs for crackles during every shift

D  Weighing the client daily at the same time each day

A  fluid intake and output.

B  urine specific gravity.

C  vital signs.

D  weight.

A  asking the client about comfort level

B  obtaining cardiac output with a pulmonary catheter

C  measuring intake and output

D  using mechanical ventilation

A  Listen for breath sounds over the epigastrium.

B  Call for a chest x-ray.

C  Observe for mist in the endotracheal tube.

D  Attach a pulse oximeter probe and obtain values.

A  Dopamine

B  Nitroglycerin

C  Morphine sulfate

D  Furosemide

A   Low-cholesterol diet

B  Low-fat diet

C  Low-potassium diet

D  Low-sodium diet

A  The client says he is short of breath when ambulating.

B  The client says he has been hungry in the evening.

C  The client says that he has been urinating less frequently at night.

D  The client says his rings have become tight and are difficult to remove.

A  chest pain

B  confusion

C  anxiety

D  dyspnea on exertion

A  II

B  I

C  IV

D  III

A   Afterload

B  Stroke volume

C   Ejection fraction

D  Preload

A  Enlargement of joints

B  nausea and vomiting

C  Flexion contractures

D  Vasculitis

A  Pulmonary embolism

B  Cardiac tamponade

C  Heart failure

D  Tension pneumothorax

A  An echocardiogram

B  A chest x-ray

C  A ventriculogram

D  An electrocardiogram

A  Dyspnea

B  Pulmonary crackles

C  Cough

D  Jugular vein distention (JVD)

A  Enlargement of joints

B  Vasculitis

C  Flexion contractures

D  Potassium levels

A  Hypotension

B  Tachycardia

C  Decreased urinary output

D  Dyspnea on exertion

A  Increased perspiration

B  Sleeping in a chair or recliner

C  Increased urine output

D  Gradual unexplained weight gain

A  Amlodipine

B  Digoxin immune FAB

C  Warfarin

D  Ibuprofen

A  Ascites

B  Dizziness

C  Nocturia

D  Tachycardia

A  a third heart sound (S3).

B  a first heart sound (S1).

C  a fourth heart sound (S4).

D  a murmur.

A  Arterial blood gas (ABG) analysis

B   Lung sounds

C  Pulse oximetry

D  Skin color assessment

A  Increased urinary output

B  Restlessness and confusion

C  High blood pressure

D  Hyperactive bowel sounds

A  dyspnea upon exertion.

B  hyperpnea.

C  paroxysmal nocturnal dyspnea.

D  orthopnea.

A  “How far can you walk without becoming short of breath?”

B  “Are you coughing up blood at night?”

C  “Are you urinating excessively at night?”

D  “Are you only able to breathe when you are sitting upright?”

A  Complete blood count (CBC)

B  Brain natriuretic peptide (BNP)

C  Creatinine

D  Blood urea nitrogen (BUN)