Chapter 28: Caring for Clients with Heart Failure

When a client has increased difficulty breathing when lying flat, the nurse records that the client is demonstrating orthopnea. dyspnea upon exertion. hyperpnea. paroxysmal nocturnal dyspnea. - Orthopnea The client with cardiac failure is taught to report which symptom to the health care provider or clinic immediately? Increased appetite Persistent cough Weight loss Ability to sleep through the night - Persistent cough Which term describes the degree of stretch of the ventricular cardiac muscle fibers at the end of diastole? Afterload Preload Ejection fraction Stroke volume - Preload Which is a characteristic of right-sided heart failure? Jugular vein distention Dyspnea Pulmonary crackles Cough - Jugular vein distention Which diagnostic study is usually performed to confirm the diagnosis of heart failure? Electrocardiogram (ECG) Echocardiogram Serum electrolytes Blood urea nitrogen (BUN) - Echocardiogram A client is admitted to the hospital with systolic left-sided heart failure. The nurse knows to look for which assessment finding for this client? Pulmonary congestion Pedal edema Nausea Jugular venous distention - Pulmonary congestion A new client has been admitted with right-sided heart failure. When assessing this client, the nurse knows to look for which finding? Pulmonary congestion CoughDyspnea Jugular venous distention - Jugular venous distention A patient has been admitted to the hospital with exacerbation of heart failure (HF) that has resulted in pulmonary and peripheral edema. The nurse has been carefully monitoring the trajectory of the patient's signs and symptoms of HF. How can the nurse best monitor the patient's fluid balance? By monitoring the patient's blood urea nitrogen (BUN) and creatinine levels By measuring and recording the patient's oral fluid intake By performing daily weights at the same time each day By assessing the patient's skin turgor at several different sites - By performing daily weights at the same time each day The nurse has completed a head-to-toe assessment of a patient who was admitted for the treatment of heart failure (HF). Which of the following assessment findings should signal to the nurse a possible exacerbation of the patient's condition? Crackles are audible on chest auscultation. The patient's blood pressure (BP) is 144/99. The patient has put out 600 mL of dilute urine over the past 8 hours. Blood glucose testing reveals a glucose level of 158 mg/dL. - Crackles are audible on chest auscultation Which New York Heart Association classification of heart failure (HF) has a poor prognosis and includes symptoms of cardiac insufficiency at rest? IV I II III - IV A client has received the diagnosis of right-sided heart failure. During client education, the nurse informs the client that heart failure affects: the body's mechanism to eliminate CO and metabolic wastes. the body's oxygen supply. peripheral circulation. None of the options is correct. - The body's mechanism to eliminate CO and metabolic wastes. Frequently, what is the earliest symptom of left-sided heart failure? dyspnea on exertion anxiety confusion chest pain - Dyspnea on exertion