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Exam (elaborations)

ATI: REAL LIFE 3.0 MODULE: PN ADULT MEDICAL SURGICAL HEART FAILURE QUESTIONS WITH VERIFIED ANSWERS

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ATI: REAL LIFE 3.0 MODULE: PN ADULT MEDICAL SURGICAL HEART FAILURE QUESTIONS WITH VERIFIED ANSWERS

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ATI: REAL LIFE 3.0 MODULE: PN ADULT MEDICAL SURGICAL HEART
FAILURE QUESTIONS WITH VERIFIED ANSWERS



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Incorrect




1 of 20

Term


A home health nurse is assessing a patient who has heart failure and
notes. The patient has had a weight gain of 1.8kg (4lbs), as well as
generalized edema, over the last three days. Which of the following
actions should the nurse take next?
a. Call the healthcare provider for further instructions
b. Document the findings and continue with the visit
c. Ensure the client has been taking prescribed diuretic
d. Reinforce theimportance of daily weights



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b. Your condition is caused by c. Ensure the client has been
excessive stretching of the ventricles. taking prescribed diuretic

, b. I should refrain from competitive a. "Your heart condition is caused
reactional sports. from stiffening of the walls of the
ventricles."
Don't know?




2 of 20

Term



A nurse is caring for a client who has valvular heart disease, and is at
risk for developing left-sided heart failure. Which of the following
manifestations should alert the nurse. The client is developing this
condition?
a. Anorexia
b. Weight gain
c. Breathlessness
d. Distended abdomen



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b. Increased CO c. Breathlessness




a. Frothy sputum a. The client's vital signs.


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3 of 20

Term

, A nurse is teaching a group of clients about risk factors for developing
hypertrophic cardiomyopathy (HCM). Which of the following following
clients should the nurse understand is at most risk for developing
HCM?
a. Client whose mother and uncle were diagnosed with the same
condition.
b. Client who uses oxygen at night to treat OSA.
c. Client who is out of work and experiences increased stress.
d. Recovering from a recent illness that caused N/V.



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a. Client whose mother and
b. Your condition is caused by
uncle were diagnosed with the
excessive stretching of the ventricles.
same condition.




b. Septal myectomy
Clients who have not responded to a. "Your heart condition is caused
meds will require a septal myectomy from stiffening of the walls of the
to reduce the thickened ventricular ventricles."
septum


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4 of 20

Term



A nurse is in the ICU caring for a client who has heart failure and
receiving a debutamine drip. The nurse should identify, which of the

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