ATI HEART FAILURE EXAM 5- CHAPTER 32 QUESTIONS WITH
VERIFIED ANSWERS
Correct 34
Incorrect 00
1 of 34
Term
A nurse is assessing a client who has heart failure. Which of the
following findings should the nurse identify as a finding related to
decreased perfusion?
Give this one a try later!
Warmth of the face and neck
Hypertension
Bradycardia
, 3+ edema to feet and ankles
The nurse should identify peripheral edema as a finding related to decreased
perfusion. The presence of pitting edema and delayed capillary refill are
characteristic of heart failure.
Don't know?
2 of 34
Definition
Select 3 findings that require immediate follow-up.
BNP results
Blood pressure
Mental status
Blood glucose
IV site findings
Urine output
When applying the urgent vs. nonurgent priority framework to evaluate
outcomes, the nurse should prioritize immediate follow-up for the
following: the client’s elevated blood pressure, the swollen and
blanched IV site, and the reduced urine output of 0.3 ml/kg/hr.
Dopamine, as a vasopressor, can improve cardiac output and renal
perfusion for clients who have heart failure exacerbations by
increasing myocardial contractility and dilating renal blood vessels at
low to moderate doses. However, the elevated blood pressure of
160/90 mm Hg may indicate that the dopamine infusion is causing
excessive vasoconstriction or an increased cardiac workload, which
necessitates careful monitoring and potential adjustment of the
infusion rate. Furthermore, the presence of swelling at the IV site that is
blanched and cool to touch could indicate IV extravasation, requiring
,prompt intervention to prevent tissue damage, including possibly
changing to a new IV site or to a central line. Phentolamine may be
injected around the site to prevent further tissue damage or necrosis.
The decreased urine output is concerning for decreased renal
perfusion, which is critical in the context of heart failure management
and may require adjustments in the dopamine infusion.
Give this one a try later!
A nurse is caring for a client who has stage D heart failure (HF) and is prescribed
dobutamine. Which of the following is the primary therapeutic goal for
administering dobutamine to this client?
A nurse is caring for clients who have heart failure. Which of the following should
the nurse recognize as common causes of left-sided heart failure? (Select all that
apply.)
Pulmonary hypertension
Chronic obstructive pulmonary disease (COPD)
Portal hypertension
Coronary artery disease (CAD)
Mitral valve stenosis
A nurse is caring for a client who has been prescribed valsartan after having a
myocardial infarction. Which of the following describes the action of this
medication?
, A nurse is caring for a client on a step down medical surgical unit.
Nurses' Notes
Day 1, 1100: 75-year-old client admitted with exacerbation of heart failure. Due
to confusion, the client is unable to provide a detailed history. Family members
report increased fatigue and difficulty breathing over the past several days.
Received provider orders to start low-dose dopamine infusion and titrate
following institutional policies. Infusion started in the left antecubital fossa
without swelling or erythema at IV site.
Medication Administration Record
Day 1, 1115: Dopamine 5 mcg/kg/min IV Day 2, 0800: Dopamine 10 mcg/kg/min
IV
Vital Signs
Day 1, 1100: Temperature 36.4° C (97.5° F) Heart rate 110/min Respiratory rate
26/min Blood pressure 95/62 mm Hg Oxygen saturation 89% on room air
Rates pain as 4 on a scale of 0 to 10 Day 1, 1300: Temperature 36.4° C (97.5° F)
Heart rate 95/min Respiratory raDtoen'2t 2k/nmowi n? B lood pressure 110
3 of 34
Term
A nurse is educating a client about lisinopril, an angiotensin-converting
enzyme (ACE) inhibitor. Which of the following effects should the nurse
explain as the primary action of ACE inhibitors on the body?
Give this one a try later!
Increase in systemic vascular resistance (SVR)
Increase in sodium and water retention
VERIFIED ANSWERS
Correct 34
Incorrect 00
1 of 34
Term
A nurse is assessing a client who has heart failure. Which of the
following findings should the nurse identify as a finding related to
decreased perfusion?
Give this one a try later!
Warmth of the face and neck
Hypertension
Bradycardia
, 3+ edema to feet and ankles
The nurse should identify peripheral edema as a finding related to decreased
perfusion. The presence of pitting edema and delayed capillary refill are
characteristic of heart failure.
Don't know?
2 of 34
Definition
Select 3 findings that require immediate follow-up.
BNP results
Blood pressure
Mental status
Blood glucose
IV site findings
Urine output
When applying the urgent vs. nonurgent priority framework to evaluate
outcomes, the nurse should prioritize immediate follow-up for the
following: the client’s elevated blood pressure, the swollen and
blanched IV site, and the reduced urine output of 0.3 ml/kg/hr.
Dopamine, as a vasopressor, can improve cardiac output and renal
perfusion for clients who have heart failure exacerbations by
increasing myocardial contractility and dilating renal blood vessels at
low to moderate doses. However, the elevated blood pressure of
160/90 mm Hg may indicate that the dopamine infusion is causing
excessive vasoconstriction or an increased cardiac workload, which
necessitates careful monitoring and potential adjustment of the
infusion rate. Furthermore, the presence of swelling at the IV site that is
blanched and cool to touch could indicate IV extravasation, requiring
,prompt intervention to prevent tissue damage, including possibly
changing to a new IV site or to a central line. Phentolamine may be
injected around the site to prevent further tissue damage or necrosis.
The decreased urine output is concerning for decreased renal
perfusion, which is critical in the context of heart failure management
and may require adjustments in the dopamine infusion.
Give this one a try later!
A nurse is caring for a client who has stage D heart failure (HF) and is prescribed
dobutamine. Which of the following is the primary therapeutic goal for
administering dobutamine to this client?
A nurse is caring for clients who have heart failure. Which of the following should
the nurse recognize as common causes of left-sided heart failure? (Select all that
apply.)
Pulmonary hypertension
Chronic obstructive pulmonary disease (COPD)
Portal hypertension
Coronary artery disease (CAD)
Mitral valve stenosis
A nurse is caring for a client who has been prescribed valsartan after having a
myocardial infarction. Which of the following describes the action of this
medication?
, A nurse is caring for a client on a step down medical surgical unit.
Nurses' Notes
Day 1, 1100: 75-year-old client admitted with exacerbation of heart failure. Due
to confusion, the client is unable to provide a detailed history. Family members
report increased fatigue and difficulty breathing over the past several days.
Received provider orders to start low-dose dopamine infusion and titrate
following institutional policies. Infusion started in the left antecubital fossa
without swelling or erythema at IV site.
Medication Administration Record
Day 1, 1115: Dopamine 5 mcg/kg/min IV Day 2, 0800: Dopamine 10 mcg/kg/min
IV
Vital Signs
Day 1, 1100: Temperature 36.4° C (97.5° F) Heart rate 110/min Respiratory rate
26/min Blood pressure 95/62 mm Hg Oxygen saturation 89% on room air
Rates pain as 4 on a scale of 0 to 10 Day 1, 1300: Temperature 36.4° C (97.5° F)
Heart rate 95/min Respiratory raDtoen'2t 2k/nmowi n? B lood pressure 110
3 of 34
Term
A nurse is educating a client about lisinopril, an angiotensin-converting
enzyme (ACE) inhibitor. Which of the following effects should the nurse
explain as the primary action of ACE inhibitors on the body?
Give this one a try later!
Increase in systemic vascular resistance (SVR)
Increase in sodium and water retention
