NURS 487 MIDTERM 1 QUESTIONS WITH COMPLETE SOLUTIONS
NURS 487 Midterm 1
SCORED A+
Study online at https://quizlet.com/_fl3br0
1. What are the two Left sided HF and right sided HF
different types of
HF?
2. Right sided heart dysfunction
failure is the ventricle
__________ of the lungs
right ________
meaning de-
creased blood be-
ing pumped to
the _____
3. Left sided heart ventricle's
failure is the dys- decreased
function of the perfusion
left ___________
ability to pump
blood indicating
a ____________ CO
and ___________ to
vital organs
4. left sided heart contractility
failure is due to
low ____________=
decreased CO
5. Causes of left AMI (decreased O2 to oareas of the heart causing damage and decreased ability
sided HF include of heart to contract effectively)
- cardiomyopathy (muscle disease of the heart= hypertrophy it affects its size,
- shape, and function)
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
- increased myocardial workload (this increases hypertrophy/stiffening of the
- heart muscle due to prolongation of increased demands)
untreated HTN (forces the heart to work harder=hypertrophy)
AKA. ANYTHING THAT CAUSES HYPERTROPHY, HEART STIFFENING, OR DE-
CREASED ABILITY FOR HEART TO CONTRACT EFFICIENTLY
6. Left sided heart contractility and preload
hf is decreased
__________ and
_________ which
decrease CO
7. Symptoms of left -pulmonary vascular congestion OR pulmonary edema (fluid build up in the
sided hf include lungs)
- -orthopnea (SOB when lying down more fluid entering the heart creating back
- flow from the right side of the heart)
- - SOB
- -coughing with or without sputum
- decreased urine output (no blood entering the body due to left sided failure***)
-
8. nursing assess- - decreased urine output*
ment of Left sided -nocturia (frequent urination at night due to laying flat fluid int he legs go back
hf into the blood stream increasing blood flow to the kidneys causing frequent
- urination throughout the night= more urine produced at night even thought
- urine produced during the day was decreased)
- -steady gait... (orthostatic hypotension?)
- -cyanotic (pink pale, grey)*
- -increased HR (x6)*
- s3 or s4 heart sounds*
- cap refills* (can be less than 3 seconds indicating there is not yet poor perfusion
to extremities, but it can be more than 3 seconds since oxygenated blood is not
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
perfusing to the rest of the body= aka blood flows from lungs to body
-crackles in the lungs (coarse or fine)*
9. Causes of right -left sided hf
sided HF - hypoxic pulmonary disease (COPD, ARDS) this is becase it can lead to pulm-
- monary hypertension increasing the amount of blood in the pulmonary arteries
- causing that side of the heart to work harder)
- pulmonic valve dysfunction (causing the heart to work harder= overtime hyper-
- trophies)
MI (damage to right ventricle- same as LSHF with an AMI)
10. Right sided hf resistance
is caused by in- afterload
creased pulmonic
____________ (in-
creased _________
in the pulmonary
system) inhibits
RV pump causing
it to dilate and fail
11. symptoms of -peripheral edema/anasarca (due to back flow of fluid in the circulatory system)
right sided hf in- - increased JVD
clude -hepatomegaly (enlarged liver)
- -murmurs
- - weight gain
- - increased HR (seen in both left and right sided hf)
- RV heaves (Abnormal pulsations felt on physical examination)
-
-
12. left sided HF CV: are there any LV heaves present, pulsus alternans
nursing assess- RESP: SOB, orthopnea, dry, hacking cough, paroxysmal nocturnal dyspnea- as-
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
ment specifically sessing how they sleep at night
for LSHF RENAL: balance, nocturia
CV: MSK: is the gait steady
RESP:
RENAL:
MSK:
13. Right sided HF CV: are there any RV sided heaves present, JVD, RUQ pain(hepatomegaly)
nursing assess- GI: anorexia, nausea, GI bloating, ascites
ment specifically
RSHF
CV:
GI:
14. labs to monitor - electrolytes (ie. sodium, potassium)
for patients with -kidney function (ie. creatinine, BUN)
hf -specialty labs (ie. troponin, BNP, CRP, CK-MB)
-
-
-
15. what are the 3 dis- - acute pericarditis
orders of the peri- -pericardial effusion
cardium - cardiac tamponade
16. Pericardial dis- infection
ease is a lo- trauma/surgery
calized manifesta- metabolic
tion of other dis- vascular disorder
orders such as...
-
-
-
NURS 487 Midterm 1
SCORED A+
Study online at https://quizlet.com/_fl3br0
1. What are the two Left sided HF and right sided HF
different types of
HF?
2. Right sided heart dysfunction
failure is the ventricle
__________ of the lungs
right ________
meaning de-
creased blood be-
ing pumped to
the _____
3. Left sided heart ventricle's
failure is the dys- decreased
function of the perfusion
left ___________
ability to pump
blood indicating
a ____________ CO
and ___________ to
vital organs
4. left sided heart contractility
failure is due to
low ____________=
decreased CO
5. Causes of left AMI (decreased O2 to oareas of the heart causing damage and decreased ability
sided HF include of heart to contract effectively)
- cardiomyopathy (muscle disease of the heart= hypertrophy it affects its size,
- shape, and function)
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
- increased myocardial workload (this increases hypertrophy/stiffening of the
- heart muscle due to prolongation of increased demands)
untreated HTN (forces the heart to work harder=hypertrophy)
AKA. ANYTHING THAT CAUSES HYPERTROPHY, HEART STIFFENING, OR DE-
CREASED ABILITY FOR HEART TO CONTRACT EFFICIENTLY
6. Left sided heart contractility and preload
hf is decreased
__________ and
_________ which
decrease CO
7. Symptoms of left -pulmonary vascular congestion OR pulmonary edema (fluid build up in the
sided hf include lungs)
- -orthopnea (SOB when lying down more fluid entering the heart creating back
- flow from the right side of the heart)
- - SOB
- -coughing with or without sputum
- decreased urine output (no blood entering the body due to left sided failure***)
-
8. nursing assess- - decreased urine output*
ment of Left sided -nocturia (frequent urination at night due to laying flat fluid int he legs go back
hf into the blood stream increasing blood flow to the kidneys causing frequent
- urination throughout the night= more urine produced at night even thought
- urine produced during the day was decreased)
- -steady gait... (orthostatic hypotension?)
- -cyanotic (pink pale, grey)*
- -increased HR (x6)*
- s3 or s4 heart sounds*
- cap refills* (can be less than 3 seconds indicating there is not yet poor perfusion
to extremities, but it can be more than 3 seconds since oxygenated blood is not
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
perfusing to the rest of the body= aka blood flows from lungs to body
-crackles in the lungs (coarse or fine)*
9. Causes of right -left sided hf
sided HF - hypoxic pulmonary disease (COPD, ARDS) this is becase it can lead to pulm-
- monary hypertension increasing the amount of blood in the pulmonary arteries
- causing that side of the heart to work harder)
- pulmonic valve dysfunction (causing the heart to work harder= overtime hyper-
- trophies)
MI (damage to right ventricle- same as LSHF with an AMI)
10. Right sided hf resistance
is caused by in- afterload
creased pulmonic
____________ (in-
creased _________
in the pulmonary
system) inhibits
RV pump causing
it to dilate and fail
11. symptoms of -peripheral edema/anasarca (due to back flow of fluid in the circulatory system)
right sided hf in- - increased JVD
clude -hepatomegaly (enlarged liver)
- -murmurs
- - weight gain
- - increased HR (seen in both left and right sided hf)
- RV heaves (Abnormal pulsations felt on physical examination)
-
-
12. left sided HF CV: are there any LV heaves present, pulsus alternans
nursing assess- RESP: SOB, orthopnea, dry, hacking cough, paroxysmal nocturnal dyspnea- as-
, NURS 487 Midterm 1
Study online at https://quizlet.com/_fl3br0
ment specifically sessing how they sleep at night
for LSHF RENAL: balance, nocturia
CV: MSK: is the gait steady
RESP:
RENAL:
MSK:
13. Right sided HF CV: are there any RV sided heaves present, JVD, RUQ pain(hepatomegaly)
nursing assess- GI: anorexia, nausea, GI bloating, ascites
ment specifically
RSHF
CV:
GI:
14. labs to monitor - electrolytes (ie. sodium, potassium)
for patients with -kidney function (ie. creatinine, BUN)
hf -specialty labs (ie. troponin, BNP, CRP, CK-MB)
-
-
-
15. what are the 3 dis- - acute pericarditis
orders of the peri- -pericardial effusion
cardium - cardiac tamponade
16. Pericardial dis- infection
ease is a lo- trauma/surgery
calized manifesta- metabolic
tion of other dis- vascular disorder
orders such as...
-
-
-
