CHAPTER 32: ATI HEART FAILURE AND PULMONARY
EDEMA QUESTIONS WITH VERIFIED ANSWERS
A nurse is caring for a client who has heart failure and reports increased shortness of
breath. Which of the following actions should the nurse take first?
A. obtain the client's weight
B. assist the client into high-Fowler's position
C. auscultate lung sounds
D. check oxygen saturation with pulse oximeter - Answers - B. assist the client into high-
Fowler's position
A nurse is teaching a client who has heart failure and new prescriptions for furosemide
and digoxin. Which of the following information should the nurse include? (Select all that
apply).
A. weigh daily, first thing each morning
B. decrease intake of potassium
C. expect muscle weakness while taking digoxin
D. hold digoxin if heart rate is less than 70/min
E. decrease sodium intake - Answers - A. weigh daily, first thing each morning; E.
decrease sodium intake
A nurse is completing the admission assessment of a client who has suspected
pulmonary edema. Which of the following manifestations are expected findings? (Select
all that apply).
A. tachypnea
B. persistent cough
C. increased urinary output
D. thick, yellow sputum
E. orthopnea - Answers - A. tachypnea, B. persistent cough, E. orthopnea
A nurse is talking with a client who has class I heart failure and asks about obtaining a
ventricular assist device (VAD). Which of the following statements should the nurse
make?
A. "VADs are only implanted during heart transplantation."
B. "A VAD helps to pace the heart."
C. "VADs are used when heart failure is not responsive to medications."
D. "A VAD is useful for clients who also have a chronic lung issue." - Answers - C.
"VADs are used when heart failure is not responsive to medications."
A nurse is providing discharge teaching for a client who has heart failure and is on a
fluid restriction of 2,000 mL/day. The client asks the nurse how to determine the
appropriate amount of fluids they are allowed. Which of the following statements is an
appropriate response by the nurse?
EDEMA QUESTIONS WITH VERIFIED ANSWERS
A nurse is caring for a client who has heart failure and reports increased shortness of
breath. Which of the following actions should the nurse take first?
A. obtain the client's weight
B. assist the client into high-Fowler's position
C. auscultate lung sounds
D. check oxygen saturation with pulse oximeter - Answers - B. assist the client into high-
Fowler's position
A nurse is teaching a client who has heart failure and new prescriptions for furosemide
and digoxin. Which of the following information should the nurse include? (Select all that
apply).
A. weigh daily, first thing each morning
B. decrease intake of potassium
C. expect muscle weakness while taking digoxin
D. hold digoxin if heart rate is less than 70/min
E. decrease sodium intake - Answers - A. weigh daily, first thing each morning; E.
decrease sodium intake
A nurse is completing the admission assessment of a client who has suspected
pulmonary edema. Which of the following manifestations are expected findings? (Select
all that apply).
A. tachypnea
B. persistent cough
C. increased urinary output
D. thick, yellow sputum
E. orthopnea - Answers - A. tachypnea, B. persistent cough, E. orthopnea
A nurse is talking with a client who has class I heart failure and asks about obtaining a
ventricular assist device (VAD). Which of the following statements should the nurse
make?
A. "VADs are only implanted during heart transplantation."
B. "A VAD helps to pace the heart."
C. "VADs are used when heart failure is not responsive to medications."
D. "A VAD is useful for clients who also have a chronic lung issue." - Answers - C.
"VADs are used when heart failure is not responsive to medications."
A nurse is providing discharge teaching for a client who has heart failure and is on a
fluid restriction of 2,000 mL/day. The client asks the nurse how to determine the
appropriate amount of fluids they are allowed. Which of the following statements is an
appropriate response by the nurse?
