NR 452 Simulation Questions
1. What key priority assessment findings are usually seen in left-sided heart failure? How do these findings differ from right-sided heart failure?
Left sided heart failure: the left side of the heart cannot pump the blood out of the heart so blood starts to back up into the lungs. Left-sided heart failure or left ventricular failure have different manifestations
with right-sided heart failure.
Pulmonary congestion occurs when the left ventricle cannot effectively pump
blood out of the ventricle into the aorta and the systemic circulation.
Pulmonary venous blood volume and pressure increase, forcing fluid from the
pulmonary capillaries into the pulmonary tissues and alveoli, causing pulmonary interstitial edema and impaired gas exchange.
Right-Sided Heart Failure
When the right ventricle fails, congestion in the peripheral tissues and the viscera predominates.
The right side of the heart cannot eject blood and cannot accommodate all the blood that normally returns to it from the venous circulation.
Increased venous pressure leads to JVD and increased capillary hydrostatic pressure throughout the venous system.
2. Identify two common medication classes used to treat left-sided heart failure. What are two nursing considerations for each identified classification of medication?
ACE Inhibitors and Beta-blockers (caution with asthmas, blood pressure, heart rate, hold less than 60), Digoxin can both be used. Nursing considerations when giving medications such as ACE Inhibitors nursing interventions are; T ake complete health history of patient.
Monitor blood pressure and pulse frequently to avoid initial dose hypotension.
Daily check the weight and fluid overload.
Check the s/s of angioedema (swelling of face and extremities)
Monitor BUN, serum potassium, creatinine, AST, ALT, serum bilirubin level
ACE inhibitors may cause false urine acetone level
Monitor kidney function
Hyperkalemia Secondly, nursing interventions when giving the patient a Beta Blocker; This study source was downloaded by 100000834290795 from CourseHero.com on 10-10-2022 19:10:32 GMT -05:00
https://www.coursehero.com/file/32835985/NR-452-Simulation-Questions-docx/
1. What key priority assessment findings are usually seen in left-sided heart failure? How do these findings differ from right-sided heart failure?
Left sided heart failure: the left side of the heart cannot pump the blood out of the heart so blood starts to back up into the lungs. Left-sided heart failure or left ventricular failure have different manifestations
with right-sided heart failure.
Pulmonary congestion occurs when the left ventricle cannot effectively pump
blood out of the ventricle into the aorta and the systemic circulation.
Pulmonary venous blood volume and pressure increase, forcing fluid from the
pulmonary capillaries into the pulmonary tissues and alveoli, causing pulmonary interstitial edema and impaired gas exchange.
Right-Sided Heart Failure
When the right ventricle fails, congestion in the peripheral tissues and the viscera predominates.
The right side of the heart cannot eject blood and cannot accommodate all the blood that normally returns to it from the venous circulation.
Increased venous pressure leads to JVD and increased capillary hydrostatic pressure throughout the venous system.
2. Identify two common medication classes used to treat left-sided heart failure. What are two nursing considerations for each identified classification of medication?
ACE Inhibitors and Beta-blockers (caution with asthmas, blood pressure, heart rate, hold less than 60), Digoxin can both be used. Nursing considerations when giving medications such as ACE Inhibitors nursing interventions are; T ake complete health history of patient.
Monitor blood pressure and pulse frequently to avoid initial dose hypotension.
Daily check the weight and fluid overload.
Check the s/s of angioedema (swelling of face and extremities)
Monitor BUN, serum potassium, creatinine, AST, ALT, serum bilirubin level
ACE inhibitors may cause false urine acetone level
Monitor kidney function
Hyperkalemia Secondly, nursing interventions when giving the patient a Beta Blocker; This study source was downloaded by 100000834290795 from CourseHero.com on 10-10-2022 19:10:32 GMT -05:00
https://www.coursehero.com/file/32835985/NR-452-Simulation-Questions-docx/
