Cardiac Surgery Test Bank

While assessing an older adult patient, the nurse notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees.What does this finding indicate? C a. Decreased fluid volume b. Jugular vein atherosclerosis c. Increased right atrial pressure d. Incompetent jugular vein valves The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute de- compensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treat- ment has been effective? C 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 degrees d.Patient denies experiencing chest pain or chest pressure Which topic will the nurse plan to include in discharge teaching for a patient who has heart failure with reduced ejection fraction (HFrEF)? a. Need to begin an aerobic exercise pro- gram several times weekly b. Benefits and effects of an- B giotensin-converting enzyme (ACE) in- hibitors c. Use of salt substitutes to replace table salt when cooking and at the table d. Importance of making an annual ap- pointment with the health care provider IV sodium nitroprusside is ordered for a patient with acute pulmonary edema. Which reassessment finding during the