Chapter 29 Management of Patients With Complications from Heart Disease

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Question 1 See full question A nurse is caring for a client with heart failure. The nurse knows that the client has left-sided heart failure when he makes which statement? You Selected:  "My fe... et are bigger than normal." Correct response:  "I sleep on three pillows each night." Explanation: Orthopnea is a classic sign of left-sided heart failure. The client commonly sleeps on several pillows at night to help facilitate breathing. Swollen feet, ascites, and anorexia are signs of right-sided heart failure. Reference:  Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 29: Management of Patients With Complications From Heart Disease, p. 799. Chapter 29: Management of Patients With Complications from Heart Disease - Page 799 Question 2 See full question In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure? You Selected:  Bilateral crackles Correct response:  Leg edema Explanation: Right-sided heart failure is characterized by signs of circulatory congestion, such as leg edema, jugular vein distention, and hepatomegaly. Left-sided heart failure is characterized by circumoral cyanosis, crackles, and a productive cough. Reference:  Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 29: Management of Patients With Complications From Heart Disease, pp. 799-800. Chapter 29: Management of Patients With Complications from Heart Disease - Page 799-800 Question 3 See full question A patient is prescribed digitalis preparations. Which of the following conditions should the nurse closely monitor when caring for the patient? You Selected:  Flexion contractures Correct response:  Electrolyte and water loss Explanation: The nurse should closely monitor a patient being administered diuretics for electrolyte and water loss. Digitalis preparations (not diuretics) are potent and may cause various toxic effects. The nurse should monitor the patient for signs of digitalis toxicity, not just during the initial period of therapy, but throughout care management. However, the effects do not include vasculitis, flexion contractures, or enlargement of joints. Reference:  Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 29: Management of Patients With Complications From Heart Disease, p. 803. Chapter 29: Management of Patients With Complications from Heart Disease - Page 803 Question 4 See full question Which of the following medications is categorized as a loop diuretic? You Selected:  Furosemide (Lasix) Correct response:  Furosemide (Lasix) Explanation: Lasix is commonly used in the treatment of cardiac failure. Loop diuretics inhibit sodium and chloride reabsorption mainly in the ascending loop of Henle. Chlorothiazide is categorized as a thiazide diuretic. Chlorthalidone is categorized as a thiazide diuretic. Spironolactone is categorized as a potassium-sparing diuretic. Reference:  Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 29: Management of Patients With Complications From Heart Disease, p. 801-802 Question 5 See full question [Show More]

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