3/8/26, 5:45 PM Student Study - EAQ Performance Details
Elsevier Adaptive Quizzing
Week 8 Heart Failure Final Score:
Student: Chiemela Chinkata Pass
Type: Mastery Completed
Goal: Intermediate (1/1 points)
Due: 8 Mar 2026 at 11:59 pm Answered
Start: 7 Mar 2026 at 6:56 pm Correctly: 81.82%
Complete: 7 Mar 2026 at 8:02 pm
Questions Topic
How did I perform on this quiz? Viewing all questions
Based on 33 questions (6 incorrect, 27 correct)
Correct
1.
Which symptom will the nurse expect a client diagnosed with paroxysmal
nocturnal dyspnea to report?
Breathlessness on exertion
Shortness of breath when lying down
Awakening from sleep with feelings of suffocation
https://student-study.elsevier.com/#/eaq-student-performance-details 1/37
,3/8/26, 5:45 PM Student Study - EAQ Performance Details
Correct answer
Decreased attention span
Rationale
Paroxysmal nocturnal dyspnea occurs when the client is asleep. The client
awakes in a state of panic with a feeling of suffocation and has a strong
desire to sit or stand up. Breathlessness on exertion is called dyspnea.
Shortness of breath when lying down, that is, orthopnea, often
accompanies dyspnea. A decreased attention span is a behavioural change
that may be due to poor gas exchange or worsening heart failure.
p. 833 Report content error
Correct
2.
Which statement by the client with chronic heart failure indicates
understanding of teaching related to dietary restrictions?
"I should not use salt."
Correct answer
"I can eat bread, processed meat, and cheese."
"I should increase the intake of milk."
https://student-study.elsevier.com/#/eaq-student-performance-details 2/37
,3/8/26, 5:45 PM Student Study - EAQ Performance Details
"I should avoid use of lemon juice and spices."
Rationale
Clients with heart failure should avoid salt because it contains sodium.
Sodium tends to absorb water and increase the edema, which may worsen
heart failure. Bread, processed meat, and cheese contain high levels of
sodium and should be avoided. Intake of milk should be restricted to only
2 cups daily because it is rich in fat. Lemon juice and spices, instead of
salt, can be used to flavour food.
p. 840 Report content error
Correct
3.
Which finding is a manifestation of left-sided heart failure?
Hepatomegaly
Splenomegaly
Pulmonary congestion and edema
Correct answer
Vascular congestion of gastrointestinal tract
https://student-study.elsevier.com/#/eaq-student-performance-details 3/37
, 3/8/26, 5:45 PM Student Study - EAQ Performance Details
Rationale
Left-sided heart failure results from left ventricular dysfunction, which
causes blood to back up through the left atrium and into the pulmonary
veins. This is manifested as pulmonary congestion and edema with pink,
frothy sputum. Venous congestion in the systemic circulation from right-
sided heart failure results in jugular venous distention, hepatomegaly,
splenomegaly, vascular congestion of the gastrointestinal tract, and
peripheral edema.
p. 832 Report content error
Correct
4.
Which dietary teaching would be included for a client with heart failure
(HF)?
A low-sodium diet
Correct answer
A high-protein diet
Foods high in thiamine
Fluid restriction of less than 500 mL per day
https://student-study.elsevier.com/#/eaq-student-performance-details 4/37
Elsevier Adaptive Quizzing
Week 8 Heart Failure Final Score:
Student: Chiemela Chinkata Pass
Type: Mastery Completed
Goal: Intermediate (1/1 points)
Due: 8 Mar 2026 at 11:59 pm Answered
Start: 7 Mar 2026 at 6:56 pm Correctly: 81.82%
Complete: 7 Mar 2026 at 8:02 pm
Questions Topic
How did I perform on this quiz? Viewing all questions
Based on 33 questions (6 incorrect, 27 correct)
Correct
1.
Which symptom will the nurse expect a client diagnosed with paroxysmal
nocturnal dyspnea to report?
Breathlessness on exertion
Shortness of breath when lying down
Awakening from sleep with feelings of suffocation
https://student-study.elsevier.com/#/eaq-student-performance-details 1/37
,3/8/26, 5:45 PM Student Study - EAQ Performance Details
Correct answer
Decreased attention span
Rationale
Paroxysmal nocturnal dyspnea occurs when the client is asleep. The client
awakes in a state of panic with a feeling of suffocation and has a strong
desire to sit or stand up. Breathlessness on exertion is called dyspnea.
Shortness of breath when lying down, that is, orthopnea, often
accompanies dyspnea. A decreased attention span is a behavioural change
that may be due to poor gas exchange or worsening heart failure.
p. 833 Report content error
Correct
2.
Which statement by the client with chronic heart failure indicates
understanding of teaching related to dietary restrictions?
"I should not use salt."
Correct answer
"I can eat bread, processed meat, and cheese."
"I should increase the intake of milk."
https://student-study.elsevier.com/#/eaq-student-performance-details 2/37
,3/8/26, 5:45 PM Student Study - EAQ Performance Details
"I should avoid use of lemon juice and spices."
Rationale
Clients with heart failure should avoid salt because it contains sodium.
Sodium tends to absorb water and increase the edema, which may worsen
heart failure. Bread, processed meat, and cheese contain high levels of
sodium and should be avoided. Intake of milk should be restricted to only
2 cups daily because it is rich in fat. Lemon juice and spices, instead of
salt, can be used to flavour food.
p. 840 Report content error
Correct
3.
Which finding is a manifestation of left-sided heart failure?
Hepatomegaly
Splenomegaly
Pulmonary congestion and edema
Correct answer
Vascular congestion of gastrointestinal tract
https://student-study.elsevier.com/#/eaq-student-performance-details 3/37
, 3/8/26, 5:45 PM Student Study - EAQ Performance Details
Rationale
Left-sided heart failure results from left ventricular dysfunction, which
causes blood to back up through the left atrium and into the pulmonary
veins. This is manifested as pulmonary congestion and edema with pink,
frothy sputum. Venous congestion in the systemic circulation from right-
sided heart failure results in jugular venous distention, hepatomegaly,
splenomegaly, vascular congestion of the gastrointestinal tract, and
peripheral edema.
p. 832 Report content error
Correct
4.
Which dietary teaching would be included for a client with heart failure
(HF)?
A low-sodium diet
Correct answer
A high-protein diet
Foods high in thiamine
Fluid restriction of less than 500 mL per day
https://student-study.elsevier.com/#/eaq-student-performance-details 4/37
