Ch 32: Concepts of Care for Patients with Cardiac Problems WITH 100% VERIFIED SOLUTIONS

Ch 32: Concepts of Care for Patients with Cardiac Problems WITH 100% VERIFIED SOLUTIONS A nurse assesses clients on a cardiac unit. Which client would the nurse identify as being at GREATEST risk for the development of left-sided heart failure? a. A 36 year old woman with aortic stenosis b. A 42 year old man with pulmonary hypertension c. A 59 year old woman who smokes cigarettes daily d. A 70 year old man who had a cerebral vascular accident - ANS A. A 36 yer old woman with aortic stenosis Cause of LV failure include mitral or aortic valve disease, CAD, and HTN. Pulmonary HTN and chronic cig smoking are risk factors for RV failure. A CVA does not increase risk of HF. A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure? a. I have been drinking more water than usual b. I am awakened by the need to urinate at night c. I must stop halfway up the stairs to catch my breath d. I have experienced blurred vision on several occasions - ANS C. I must stop halfway up the stairs to catch my breath Pts with left-sided HF report weakness/fatigue while performing ADLs, as well as difficulty breathing, or "catching their breath". This occurs as fluid moves into the alveoli. Nocturia is often seen with right-sided heart failure. Thirst and blurred vision are not related to HF. A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the nurse to the possibility of right-sided heart failure? a. I sleep with four pillows at night b. My shoes fit really tight lately c. I wake up coughing every night d. I have trouble catching my breath - ANS B. My shoes fit really tight lately Signs of systemic congestion occur with right-sided HF. Fluid is retained, pressure builds in the venous system, and peripheral edema develops. Left-sided HF symptoms include respiratory symptoms - orthopnea, coughing, and difficulty breathing all could be results. While assessing a client on a cardiac unit, a nurse identifies the presence of an S3 gallop. What action would the nurse take next? a. Assess for symptoms of left-sided heart failure b. Document this as a normal finding c. Call the primary health care provider immediately