Practice and learn. Heart Failure Case
Study - Teresa Melnik
What additional assessments related to possible heart failure do you think the nurse
should make? Choose all that apply. - answer Heart rate, Evidence of edema, Weight
changes, Skin color, Temperature, Behavioral changes, Chest pain, Lung sounds,
Paroxysmal nocturnal dyspnea (PND)
Fatigue is a late manifestation of HF and is caused by increased cardiac output and
decreased oxygenation of the tissues. - answer False
DOE and orthopnea are caused by increased pulmonary pressure due to interstitial and
alveolar edema. - answer True
The development of dependent (ankle) edema is a sign of exacerbated HF. - answer
True
Frequent urination at night (nocturia) indicates a urinary tract infection. - answer False
Which of the following do Mrs. Melnik's diagnostic test results indicate? - answer
Diastolic heart failure
What is the reason Mrs. Melnik is being started on warfarin (Coumadin)? - answer To
prevent atrial fibrillation from forming thrombus in the atria
Based on the information given, what do you think the admitting nurse suspects Mrs.
Melnik to be experiencing? - answerAcute decompensated heart failure
Which of the following nursing measures are priorities for Mrs. Melnik? - answerSemi-
Fowler's position,
Daily weights,
Administer morphine 2mg IV push.
What is the rationale for changing Mrs. Melnik's furosemide from oral dosing to IV?
Mrs. Melnik is experiencing ___________ and requires rapid and effective diuresis.
Furosemide is a potent diuretic and is often used as a first-line agent in ADHF to reduce
___________. - answerMrs. Melnik is experiencing pulmonary edema and requires
Study - Teresa Melnik
What additional assessments related to possible heart failure do you think the nurse
should make? Choose all that apply. - answer Heart rate, Evidence of edema, Weight
changes, Skin color, Temperature, Behavioral changes, Chest pain, Lung sounds,
Paroxysmal nocturnal dyspnea (PND)
Fatigue is a late manifestation of HF and is caused by increased cardiac output and
decreased oxygenation of the tissues. - answer False
DOE and orthopnea are caused by increased pulmonary pressure due to interstitial and
alveolar edema. - answer True
The development of dependent (ankle) edema is a sign of exacerbated HF. - answer
True
Frequent urination at night (nocturia) indicates a urinary tract infection. - answer False
Which of the following do Mrs. Melnik's diagnostic test results indicate? - answer
Diastolic heart failure
What is the reason Mrs. Melnik is being started on warfarin (Coumadin)? - answer To
prevent atrial fibrillation from forming thrombus in the atria
Based on the information given, what do you think the admitting nurse suspects Mrs.
Melnik to be experiencing? - answerAcute decompensated heart failure
Which of the following nursing measures are priorities for Mrs. Melnik? - answerSemi-
Fowler's position,
Daily weights,
Administer morphine 2mg IV push.
What is the rationale for changing Mrs. Melnik's furosemide from oral dosing to IV?
Mrs. Melnik is experiencing ___________ and requires rapid and effective diuresis.
Furosemide is a potent diuretic and is often used as a first-line agent in ADHF to reduce
___________. - answerMrs. Melnik is experiencing pulmonary edema and requires
