Hesi Case Study; Heart Failure with
Atrial Fibrillation Exam Questions and
Answers 100% Pass
Knowing that the client has two risk factors that cannot be modified, which
intervention is most important for the nurse to include in the client's plan of care?
- ANSWER-Complete a focused cardiac history assessment.
Myocardial infarction, coronary artery disease, and ischemic heart disease are
among the most common underlying causes of heart failure.
In fact, the most common cause of heart failure is myocardial infarction.
The nurse should also ask the client if they have hypertension which is another
primary underlying condition causing heart failure.
Clinical Manifestations
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, Right-sided, or right ventricular, heart failure - ANSWER-Right-sided, or right
ventricular, heart failure occurs due to left-sided heart failure when the weakened
or stiff left ventricle cannot efficiently pump blood to the rest of the body. As a
result, fluid is forced back through the lungs, weakening the heart's right side, and
causing right-sided heart failure.
Which assessment finding provides the earliest indication that the client is
experiencing right-sided heart failure? - ANSWER-Peripheral edema.
Right-sided heart failure results in peripheral congestion due to the inability of the
right ventricle to effectively pump blood out of the heart to the lungs, causing
edema, JVD, an enlarged liver, abdominal ascites, and weight gain.
Edema and weight gain are among the earlier signs.
Cardiac Dysrhythmias
Left-sided heart failure - ANSWER-Left-sided heart failure results in pulmonary
fluid overload, and right-sided heart failure results in peripheral fluid overload.
Left-sided heart failure usually occurs first, and can trigger right-sided heart failure.
Based on the electrocardiogram rhythm strip, what intervention should the nurse
implement first?
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Atrial Fibrillation Exam Questions and
Answers 100% Pass
Knowing that the client has two risk factors that cannot be modified, which
intervention is most important for the nurse to include in the client's plan of care?
- ANSWER-Complete a focused cardiac history assessment.
Myocardial infarction, coronary artery disease, and ischemic heart disease are
among the most common underlying causes of heart failure.
In fact, the most common cause of heart failure is myocardial infarction.
The nurse should also ask the client if they have hypertension which is another
primary underlying condition causing heart failure.
Clinical Manifestations
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, Right-sided, or right ventricular, heart failure - ANSWER-Right-sided, or right
ventricular, heart failure occurs due to left-sided heart failure when the weakened
or stiff left ventricle cannot efficiently pump blood to the rest of the body. As a
result, fluid is forced back through the lungs, weakening the heart's right side, and
causing right-sided heart failure.
Which assessment finding provides the earliest indication that the client is
experiencing right-sided heart failure? - ANSWER-Peripheral edema.
Right-sided heart failure results in peripheral congestion due to the inability of the
right ventricle to effectively pump blood out of the heart to the lungs, causing
edema, JVD, an enlarged liver, abdominal ascites, and weight gain.
Edema and weight gain are among the earlier signs.
Cardiac Dysrhythmias
Left-sided heart failure - ANSWER-Left-sided heart failure results in pulmonary
fluid overload, and right-sided heart failure results in peripheral fluid overload.
Left-sided heart failure usually occurs first, and can trigger right-sided heart failure.
Based on the electrocardiogram rhythm strip, what intervention should the nurse
implement first?
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