Cardiac Surgery Test Bank
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1. While assessing an older adult patient, the nurse C
notes jugular venous distention (JVD) with the head of
the patient's bed elevated 45 degrees. What does this
finding indicate?
a. Decreased fluid volume
b. Jugular vein atherosclerosis
c. Increased right atrial pressure
d. Incompetent jugular vein valves
2. The nurse is caring for a patient who is receiving IV C
furosemide (Lasix) and morphine for the treatment
of acute decompensated heart failure (ADHF) with se-
vere orthopnea. Which clinical
finding is the best indicator that the treatment has
been effective?
a. Weight loss of 2 lb in 24 hours
b. Hourly urine output greater than 60 mL
c. Reduced dyspnea with the head of bed at 30 de-
grees
d. Patient denies experiencing chest pain or chest
pressure
3. Which topic will the nurse plan to include in discharge B
teaching for a patient who has heart failure with re-
duced ejection fraction (HFrEF)?
a. Need to begin an aerobic exercise program several
times weekly
b. Benefits and effects of angiotensin-converting en-
zyme (ACE) inhibitors
c. Use of salt substitutes to replace table salt when
cooking and at the table
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d. Importance of making an annual appointment with
the health care provider
4. IV sodium nitroprusside is ordered for a patient with C
acute pulmonary edema. Which reassessment finding
during the first hours of administration indicates that
the nurse should
decrease the rate of nitroprusside infusion?
a. Ventricular ectopy
b. Dry, hacking cough
c. Systolic BP below 90 mm Hg
d. Heart rate below 50 beats/min
5. A patient who has chronic heart failure tells the nurse, C
"I was fine when I went to bed, but I woke up in the
middle of the night feeling like I was suffocating!" How
should the nurse document this finding?
a. Orthopnea
b. Pulsus alternans
c. Paroxysmal nocturnal dyspnea
d. Acute bilateral pleural effusion
6. Which statement by a patient with newly diagnosed D
heart failure indicates to the nurse that teaching was
effective?
a. "I will take furosemide (Lasix) every day just before
bedtime."
b. "I will use the nitroglycerin patch whenever I have
chest pain."
c. "I will use an additional pillow if I am short of breath
at night."
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d. "I will call the clinic if my weight goes up 3 pounds
in a week."
7. When teaching a patient with heart failure on a C
2000-mg sodium diet, which foods should the nurse
recommend limiting?
a. Chicken and eggs
b. Canned and frozen fruits
c. Yogurt and milk products
d. Fresh or frozen vegetables
8. The nurse plans discharge teaching for a patient with C
chronic heart failure who has prescriptions for digoxin
(Lanoxin) and hydrochlorothiazide. Which instruction
should the nurse include?
a. Limit dietary sources of potassium.
b. Take the hydrochlorothiazide at bedtime.
c. Notify the health care provider if nausea develops.
d. Take the digoxin if the pulse is below 60 beats/min.
9. While admitting an 82-yr-old patient with acute de- C
compensated heart failure to the hospital,
the nurse learns that the patient lives alone and some-
times confuses the "water pill" with the
"heart pill." What should the nurse include in the dis-
charge plan?
a. Consult with a psychologist.
b. Transfer to a long-term care facility.
c. Referral to a home health care agency.
d. Arrangements for around-the-clock care.
10. Following an acute myocardial infarction, a previously D
healthy 63-yr-old develops heart failure. What med-
, Cardiac Surgery Test Bank
Study online at https://quizlet.com/_8t9j9j
ication topic should the nurse anticipate including in
discharge teaching?
a. -Adrenergic blockers
b. Calcium channel blockers
c. Digitalis and potassium therapy regimen
d. Angiotensin-converting enzyme (ACE) inhibitors
11. A 53-yr-old patient with stage D heart failure and type D
2 diabetes asks the nurse whether heart transplant is
an option. Which response is accurate?
a. "Your heart failure has not reached the end stage
yet."
b. "You could not manage the multiple complications
of that surgery."
c. "The suitability of a heart transplant for you de-
pends on many factors."
d. "Because you have diabetes, you would not be a
heart transplant candidate."
12. Which diagnostic test will be most useful to the nurse C
in determining whether a patient admitted with acute
shortness of breath has heart failure?
a. Serum troponin
b. Arterial blood gases
c. B-type natriuretic peptide
d. 12-lead electrocardiogram
13. Which action should the nurse include in the plan of A
care for a patient admitted with acute decompensated
heart failure (ADHF) who is receiving nesiritide (Na-
trecor)?
a. Monitor blood pressure frequently.
Study online at https://quizlet.com/_8t9j9j
1. While assessing an older adult patient, the nurse C
notes jugular venous distention (JVD) with the head of
the patient's bed elevated 45 degrees. What does this
finding indicate?
a. Decreased fluid volume
b. Jugular vein atherosclerosis
c. Increased right atrial pressure
d. Incompetent jugular vein valves
2. The nurse is caring for a patient who is receiving IV C
furosemide (Lasix) and morphine for the treatment
of acute decompensated heart failure (ADHF) with se-
vere orthopnea. Which clinical
finding is the best indicator that the treatment has
been effective?
a. Weight loss of 2 lb in 24 hours
b. Hourly urine output greater than 60 mL
c. Reduced dyspnea with the head of bed at 30 de-
grees
d. Patient denies experiencing chest pain or chest
pressure
3. Which topic will the nurse plan to include in discharge B
teaching for a patient who has heart failure with re-
duced ejection fraction (HFrEF)?
a. Need to begin an aerobic exercise program several
times weekly
b. Benefits and effects of angiotensin-converting en-
zyme (ACE) inhibitors
c. Use of salt substitutes to replace table salt when
cooking and at the table
, Cardiac Surgery Test Bank
Study online at https://quizlet.com/_8t9j9j
d. Importance of making an annual appointment with
the health care provider
4. IV sodium nitroprusside is ordered for a patient with C
acute pulmonary edema. Which reassessment finding
during the first hours of administration indicates that
the nurse should
decrease the rate of nitroprusside infusion?
a. Ventricular ectopy
b. Dry, hacking cough
c. Systolic BP below 90 mm Hg
d. Heart rate below 50 beats/min
5. A patient who has chronic heart failure tells the nurse, C
"I was fine when I went to bed, but I woke up in the
middle of the night feeling like I was suffocating!" How
should the nurse document this finding?
a. Orthopnea
b. Pulsus alternans
c. Paroxysmal nocturnal dyspnea
d. Acute bilateral pleural effusion
6. Which statement by a patient with newly diagnosed D
heart failure indicates to the nurse that teaching was
effective?
a. "I will take furosemide (Lasix) every day just before
bedtime."
b. "I will use the nitroglycerin patch whenever I have
chest pain."
c. "I will use an additional pillow if I am short of breath
at night."
, Cardiac Surgery Test Bank
Study online at https://quizlet.com/_8t9j9j
d. "I will call the clinic if my weight goes up 3 pounds
in a week."
7. When teaching a patient with heart failure on a C
2000-mg sodium diet, which foods should the nurse
recommend limiting?
a. Chicken and eggs
b. Canned and frozen fruits
c. Yogurt and milk products
d. Fresh or frozen vegetables
8. The nurse plans discharge teaching for a patient with C
chronic heart failure who has prescriptions for digoxin
(Lanoxin) and hydrochlorothiazide. Which instruction
should the nurse include?
a. Limit dietary sources of potassium.
b. Take the hydrochlorothiazide at bedtime.
c. Notify the health care provider if nausea develops.
d. Take the digoxin if the pulse is below 60 beats/min.
9. While admitting an 82-yr-old patient with acute de- C
compensated heart failure to the hospital,
the nurse learns that the patient lives alone and some-
times confuses the "water pill" with the
"heart pill." What should the nurse include in the dis-
charge plan?
a. Consult with a psychologist.
b. Transfer to a long-term care facility.
c. Referral to a home health care agency.
d. Arrangements for around-the-clock care.
10. Following an acute myocardial infarction, a previously D
healthy 63-yr-old develops heart failure. What med-
, Cardiac Surgery Test Bank
Study online at https://quizlet.com/_8t9j9j
ication topic should the nurse anticipate including in
discharge teaching?
a. -Adrenergic blockers
b. Calcium channel blockers
c. Digitalis and potassium therapy regimen
d. Angiotensin-converting enzyme (ACE) inhibitors
11. A 53-yr-old patient with stage D heart failure and type D
2 diabetes asks the nurse whether heart transplant is
an option. Which response is accurate?
a. "Your heart failure has not reached the end stage
yet."
b. "You could not manage the multiple complications
of that surgery."
c. "The suitability of a heart transplant for you de-
pends on many factors."
d. "Because you have diabetes, you would not be a
heart transplant candidate."
12. Which diagnostic test will be most useful to the nurse C
in determining whether a patient admitted with acute
shortness of breath has heart failure?
a. Serum troponin
b. Arterial blood gases
c. B-type natriuretic peptide
d. 12-lead electrocardiogram
13. Which action should the nurse include in the plan of A
care for a patient admitted with acute decompensated
heart failure (ADHF) who is receiving nesiritide (Na-
trecor)?
a. Monitor blood pressure frequently.
