NUR 254 CHAP 29 QUESTIONS WITH
ACTUAL ANSWERS 2025 - 2026
Heart,Failure,,,ANS,-
The,inability,of,the,heart,to,pump,sufficient,blood,to,meet,the,needs,of,the,tissues,for,oxygen,and,nutri
ents
A,syndrome,characterized,by,fluid,overload,or,inadequate,tissue,perfusion
The,term,heart,failure,indicates,myocardial,disease,,in,which,there,is,a,problem,with,the,contraction,of,
the,heart,(systolic,failure),or,filling,of,the,heart,(diastolic,failure).
Some,cases,are,reversible.
Most,HF,is,a,progressive,,lifelong,disorder,managed,with,lifestyle,changes,and,medications.
Right,Sided,,,ANS,-Viscera,and,peripheral,congestion
Jugular,venous,distention,(JVD)
Dependent,edema
Hepatomegaly
Ascites
Weight,gain
Left,Sided,,,ANS,-Pulmonary,congestion,,crackles
S3,or,"ventricular,gallop"
Dyspnea,on,exertion,(DOE)
Orthopnea
Dry,,nonproductive,cough,initially
Oliguria
Assessment,,,ANS,-Focus
Effectiveness,of,therapy
Patient's,self-management,
S&S,if,increased,HF
, Emotional,or,psychosocial,response
Health,history
PE
Mental,status;,lung,sounds:,crackles,and,wheezes;,heart,sounds:,S3;,fluid,status,or,signs,of,fluid,overloa
d;,daily,weight,and,I&O;,assess,responses,to,medications
Diagnoses,,,ANS,-Activity,intolerance,related,to,decreased,CO
Excess,fluid,volume,related,to,the,HF,syndrome
Anxiety-related,symptoms,related,to,complexity,of,the,therapeutic,regimen
Powerlessness,related,to,chronic,illness,and,hospitalizations
Ineffective,family,therapeutic,regimen,management
Collaborative,Problems,and,Potential,Complications,,,ANS,-
Hypotension,,poor,perfusion,,and,cardiogenic,shock,(see,Chapter,14)
Dysrhythmias,(see,Chapter,26)
Thromboembolism,(see,Chapter,30)
Pericardial,effusion,and,cardiac,tamponade
Goals,,,ANS,-Promote,activity,and,reduce,fatigue
Relieve,fluid,overload,symptoms
Decrease,anxiety,or,increase,the,patient's,ability,to,manage,anxiety
Encourage,the,patient,to,verbalize,his,or,her,ability,to,make,decisions,and,influence,outcomes
Educate,the,patient,and,family,about,management,of,the,therapeutic,regimen
Activity,Intolerance,,,ANS,-Bed,rest,for,acute,exacerbations
Encourage,regular,physical,activity;,30-45,minutes,daily,
Exercise,training,
Pacing,of,activities
Wait,2,hours,after,eating,for,physical,activity,
ACTUAL ANSWERS 2025 - 2026
Heart,Failure,,,ANS,-
The,inability,of,the,heart,to,pump,sufficient,blood,to,meet,the,needs,of,the,tissues,for,oxygen,and,nutri
ents
A,syndrome,characterized,by,fluid,overload,or,inadequate,tissue,perfusion
The,term,heart,failure,indicates,myocardial,disease,,in,which,there,is,a,problem,with,the,contraction,of,
the,heart,(systolic,failure),or,filling,of,the,heart,(diastolic,failure).
Some,cases,are,reversible.
Most,HF,is,a,progressive,,lifelong,disorder,managed,with,lifestyle,changes,and,medications.
Right,Sided,,,ANS,-Viscera,and,peripheral,congestion
Jugular,venous,distention,(JVD)
Dependent,edema
Hepatomegaly
Ascites
Weight,gain
Left,Sided,,,ANS,-Pulmonary,congestion,,crackles
S3,or,"ventricular,gallop"
Dyspnea,on,exertion,(DOE)
Orthopnea
Dry,,nonproductive,cough,initially
Oliguria
Assessment,,,ANS,-Focus
Effectiveness,of,therapy
Patient's,self-management,
S&S,if,increased,HF
, Emotional,or,psychosocial,response
Health,history
PE
Mental,status;,lung,sounds:,crackles,and,wheezes;,heart,sounds:,S3;,fluid,status,or,signs,of,fluid,overloa
d;,daily,weight,and,I&O;,assess,responses,to,medications
Diagnoses,,,ANS,-Activity,intolerance,related,to,decreased,CO
Excess,fluid,volume,related,to,the,HF,syndrome
Anxiety-related,symptoms,related,to,complexity,of,the,therapeutic,regimen
Powerlessness,related,to,chronic,illness,and,hospitalizations
Ineffective,family,therapeutic,regimen,management
Collaborative,Problems,and,Potential,Complications,,,ANS,-
Hypotension,,poor,perfusion,,and,cardiogenic,shock,(see,Chapter,14)
Dysrhythmias,(see,Chapter,26)
Thromboembolism,(see,Chapter,30)
Pericardial,effusion,and,cardiac,tamponade
Goals,,,ANS,-Promote,activity,and,reduce,fatigue
Relieve,fluid,overload,symptoms
Decrease,anxiety,or,increase,the,patient's,ability,to,manage,anxiety
Encourage,the,patient,to,verbalize,his,or,her,ability,to,make,decisions,and,influence,outcomes
Educate,the,patient,and,family,about,management,of,the,therapeutic,regimen
Activity,Intolerance,,,ANS,-Bed,rest,for,acute,exacerbations
Encourage,regular,physical,activity;,30-45,minutes,daily,
Exercise,training,
Pacing,of,activities
Wait,2,hours,after,eating,for,physical,activity,
