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HEART FAILURE NCLEX EXAM 3 LATEST VERSIONS (VERSION A, B AND C) 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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HEART FAILURE NCLEX EXAM 3 LATEST VERSIONS (VERSION A, B AND C) 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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HEART FAILURE NCLEX EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) 2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES

Terms in this set (18)

A client is being started on Monitoring blood pressure.
lisinopril (Zestril). Nursing
interventions during initial Rationale: Lisinopril is an ACE inhibitor, which can cause
therapy with this medication severe hypotension with initial doses. The nurse should
must include monitor the client closely for several hours.


Monitoring blood pressure.
Monitoring intake and
output.
Monitoring EKG.
Monitoring serum levels.

The client is prescribed a Slowing the heart and decreasing afterload.
beta-blocker as adjunct
therapy to treatment of Rationale: Beta-blockers improve symptoms of HF by
heart failure. The nurse slowing heart rate and decreasing blood pressure. The
recognizes that beta decreased afterload causes decreased workload on the
blockers act by heart.


Increasing contractility and
cardiac output.
Decreasing preload.
Slowing the heart and
decreasing afterload.
Decreasing peripheral
resistance

, The client is prescribed Lower peripheral resistance and reduce blood volume.
captopril (Capoten) for
treatment of HF. The nurse Rationale: ACE inhibitors decrease peripheral resistance
teaches that the primary and reduce blood volume by enhancing the excretion of
action of the drug is to sodium and water. This results in decreased afterload
and increased cardiac output.
Prevent influx of calcium.
Lower peripheral resistance
and reduce blood volume.
Increase strength of
ventricular contractions.
Increase heart rate.

The client is prescribed "This drug will help my heart muscle pump less."
digoxin (Lanoxin) for
treatment of HR. Which of Rationale: The ability to increase the strength of
the following statements by contractions is a characteristic of cardiac glycosides. It
the client indicates the may result in a decrease in pulse. Initially the client may
need for further teaching by experience some fatigue. Symptoms of CHF, such as
the nurse? dyspnea, should improve.


"I should not get short of
breath anymore."
"This drug will help my
heart muscle pump less."
"I may notice my heart rate
decrease."
"I may feel tired during
early treatment."

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