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A 78 year old female patient has been admitted with acute heart failure after presenting with
orthopnea and dyspnea upon exertion. Her assessment findings include bilateral crackles and an S3.
Her vital signs are HR 110, RR 28, BP 108/62, SpO2 89%.
Which of the following admission orders would the nurse implement first?
a.) administer oxygen at 2L NC
b.) administer Furosemide (Lasix) IV
c.) Administer metoprolol (Lopressor) IV
d.) Administer norepinephrine (Levophed) IV ✔Correct Answer-Answer: Administer oxygen at 2L
NC
A patient with heart failure states that she hasn't been taking her captopril (Capoten) because it
makes her cough. What medication might she be changed to since it has the most similar
hemodynamic effects?
a.) furosemide (Lasix)
b.) metoprolol (Lopressor)
c.) diltiazem (Cardizem)
d.) valsartan (Diovan) ✔Correct Answer-Answer: valsartan (Diovan)
Which of the following interventions may be ordered for a patient with heart failure? (Select all that
apply)
a.) low sodium diet
b.) hypotonic saline at 50 ml/hr
c.) fluid restriction to 2L per day
d.) position in semi-Fowler's to high-Fowler's position
e.) weight patient weekly
f.) administration of potassium IV push ✔Correct Answer-Answer: low sodium diet, fluid restriction
to 2L per day, position in semi-Fowler's to high-Fowler's position
Which of the following hemodynamic values would be anticipated for a patient in cardiogenic shock?
a.) decreased CVP
b.) increased cardiac output
c.) decreased SVR
d.) elevated PA diastolic pressure ✔Correct Answer-Answer: elevated PA diastolic pressure
What EKG finding could be a sign of an acute myocardial infarction?
a.) PR interval shortening
b.) irregular rhythm
c.) ST segment depression
d.) QT interval prolongation ✔Correct Answer-Answer: ST segment depression