HF Practice Questions
Mrs. Smith has left-sided HF and comes into the clinic complaining of SOB. What is priority
assessment?
a) cardiovascular
b) neuro
c) respiratory
d) lung sounds
C
What type of respiratory assessment would Mrs. Smith received based on #1? Why is this
priority?
Respiratory Status: SpO2, RR, Lung Sounds
Due to Pulmonary Edema
Decreased CO (forward flow problem): fatigue/activity intolerance/cyanosis
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What medications would you expect Mrs. Smith to be taking for her heart failure?
ACE Inhibitors
Beta-Blocker
Loop Diuretic
Based on Mrs. Smith's current state, the provider admits Ms. Smith to the hospital. What
orders would you expect, given Mrs. Smith is having an acute exacerbation of left-sided
heart failure?
Oxygen (+ Pressure)
HOB up
, ASSESS
12-Lead
BNP Lab (determines if it's acute)
IV Lasix (monitor K)
Cardiac Telemetry
Fluid Restrictions
Monitor I/O
Chest X-Ray
On discharge, what would priority education be for Mrs. Smith?
-Check Daily Weights at same time every day
-Monitor S/S of cold (coughing/congestion)
-Noticeable decreased in activity tolerance
-Medication adherence
-Lifestyle changes
-When to call 911
-BP checks
Several months later, Mrs. Smith returns to the clinic and appears to be developing
Right-Sided HF. Why do you think she has developed this? What assessment findings would
you expect?
-She already has LSHF- fluid backs up into lungs creating high pressure area; right ventricle
now has to work harder to push blood into lungs
-Right ventricle hypertrophies and fails (cannot empty completely)
-Reduced CO
Assessment Findings:
JVD
Ascites
Hepatomegaly
Dependent/Pitting Edema
Weight Gain
Nocturia
Electrolyte Imbalance (hyponatremia)
Mrs. Smith has left-sided HF and comes into the clinic complaining of SOB. What is priority
assessment?
a) cardiovascular
b) neuro
c) respiratory
d) lung sounds
C
What type of respiratory assessment would Mrs. Smith received based on #1? Why is this
priority?
Respiratory Status: SpO2, RR, Lung Sounds
Due to Pulmonary Edema
Decreased CO (forward flow problem): fatigue/activity intolerance/cyanosis
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
What medications would you expect Mrs. Smith to be taking for her heart failure?
ACE Inhibitors
Beta-Blocker
Loop Diuretic
Based on Mrs. Smith's current state, the provider admits Ms. Smith to the hospital. What
orders would you expect, given Mrs. Smith is having an acute exacerbation of left-sided
heart failure?
Oxygen (+ Pressure)
HOB up
, ASSESS
12-Lead
BNP Lab (determines if it's acute)
IV Lasix (monitor K)
Cardiac Telemetry
Fluid Restrictions
Monitor I/O
Chest X-Ray
On discharge, what would priority education be for Mrs. Smith?
-Check Daily Weights at same time every day
-Monitor S/S of cold (coughing/congestion)
-Noticeable decreased in activity tolerance
-Medication adherence
-Lifestyle changes
-When to call 911
-BP checks
Several months later, Mrs. Smith returns to the clinic and appears to be developing
Right-Sided HF. Why do you think she has developed this? What assessment findings would
you expect?
-She already has LSHF- fluid backs up into lungs creating high pressure area; right ventricle
now has to work harder to push blood into lungs
-Right ventricle hypertrophies and fails (cannot empty completely)
-Reduced CO
Assessment Findings:
JVD
Ascites
Hepatomegaly
Dependent/Pitting Edema
Weight Gain
Nocturia
Electrolyte Imbalance (hyponatremia)
