NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
JoAnn Smith, 72 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis)
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
,NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
1. Gas Exchange
2. Fluid and Electrolyte Balance
3. Clinical Judgment
4. Patient Education
5. Communication
6. Collaboration
UNFOLDING Reasoning Case Study: STUDENT Heart Failure
History of Present Problem:
JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four
years ago and systolic heart failure secondary to ischemic cardiomyopathy with a current
ejection fraction (EF) of only 15%. She presents to the emergency department (ED) for
shortness of breath (SOB) the past three days. Her shortness of breath has progressed from
SOB with activity to becoming SOB at rest. The last two nights she had to sleep in her recliner
chair to rest comfortably upright. She is able to speak only in partial sentences and then has to
take a breath when talking to the nurse. She has noted increased swelling in her lower legs and
has gained six pounds in the last three days. She is being transferred from the ED to the cardiac
step-down where you are the nurse assigned to care for her.
Personal/Social History:
JoAnn is a retired math teacher who is unable to maintain the level of activity she has been
accustomed to because of the progression of her heart failure the past two years. She has
struggled with depression the past two years and has been more withdrawn since her husband
of 52 years died unexpectedly three months ago from a myocardial infarction.
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
,NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
What data from the histories is RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
MI four years ago, MI is significant because it decreases heart function
increase shortness of breath at due to death of myocardial muscle
rest; can only speak in partial EF of 15% shows that the heart is having a hard time
sentences, pumping blood out to rest of the body therefore starving it
ischemic cardiomyopathy with of oxygenated blood.
EF of 15% last two nights slept Weight gain and increased swelling signifies she is fluid
in recliner overloaded and it can be reason why she is having a hard
increased swelling in time talking, breathing, being
lower legs gained 6 active and why she has to sleep in a recliner the past 2
pounds in last 3 days nights
RELEVANT Data from Social Clinical Significance:
History:
Retired math teacher, recent widow, Depression might affect her enthusiasm to recover, to stick
history of depression, decreasing to a therapy regimen
activity level
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?
(Which medication treats which condition? Draw
lines to connect)
PMH: Home Meds: Pharm. Expected Outcome:
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
, NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
Classification:
•Diabetes mellitus 1. ASA 81 mg PO • Antiplatelets • Decrease
type II daily • Beta blocker chance of clot
•Hypertension 2. Carvedilol 3.25 • ACE inhibitor formation
•Atrial fibrillation mg PO daily • Choleste • Decrease
•Hyperlipidemia 3. Lisinopril 5 rol blood
•Chronic renal mg PO daily medicati pressure
insufficiency 4. Ezetimide 10 on • Decrease blood
(baseline creatinine mg PO daily • Vasodilator pressure, helps
2.0) 5. Hydralazine 25 • Diuretic with heart
•Cerebral vascular mg PO 4x daily • Electroly failure,
accident (CVA) 6. Torsemide 20 te decrease
with no residual mg PO bid replacem chance of
deficits 7. KCL 20 meq PO ent death from
•Heart failure daily • Anticoagulant heart attack
(systolic) 8. Warfarin 5 mg PO • Antidiabetic • Decreas
secondary to daily e
ischemic 9. Glyburide 5 mg choleste
cardiomyopathy PO daily rol
•MI with stent x2 to • Decrease
LAD 4 blood
years ago pressure
• Decrease
swelling,
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
JoAnn Smith, 72 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis)
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
,NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
1. Gas Exchange
2. Fluid and Electrolyte Balance
3. Clinical Judgment
4. Patient Education
5. Communication
6. Collaboration
UNFOLDING Reasoning Case Study: STUDENT Heart Failure
History of Present Problem:
JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four
years ago and systolic heart failure secondary to ischemic cardiomyopathy with a current
ejection fraction (EF) of only 15%. She presents to the emergency department (ED) for
shortness of breath (SOB) the past three days. Her shortness of breath has progressed from
SOB with activity to becoming SOB at rest. The last two nights she had to sleep in her recliner
chair to rest comfortably upright. She is able to speak only in partial sentences and then has to
take a breath when talking to the nurse. She has noted increased swelling in her lower legs and
has gained six pounds in the last three days. She is being transferred from the ED to the cardiac
step-down where you are the nurse assigned to care for her.
Personal/Social History:
JoAnn is a retired math teacher who is unable to maintain the level of activity she has been
accustomed to because of the progression of her heart failure the past two years. She has
struggled with depression the past two years and has been more withdrawn since her husband
of 52 years died unexpectedly three months ago from a myocardial infarction.
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
,NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
What data from the histories is RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
MI four years ago, MI is significant because it decreases heart function
increase shortness of breath at due to death of myocardial muscle
rest; can only speak in partial EF of 15% shows that the heart is having a hard time
sentences, pumping blood out to rest of the body therefore starving it
ischemic cardiomyopathy with of oxygenated blood.
EF of 15% last two nights slept Weight gain and increased swelling signifies she is fluid
in recliner overloaded and it can be reason why she is having a hard
increased swelling in time talking, breathing, being
lower legs gained 6 active and why she has to sleep in a recliner the past 2
pounds in last 3 days nights
RELEVANT Data from Social Clinical Significance:
History:
Retired math teacher, recent widow, Depression might affect her enthusiasm to recover, to stick
history of depression, decreasing to a therapy regimen
activity level
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?
(Which medication treats which condition? Draw
lines to connect)
PMH: Home Meds: Pharm. Expected Outcome:
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
, NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
Classification:
•Diabetes mellitus 1. ASA 81 mg PO • Antiplatelets • Decrease
type II daily • Beta blocker chance of clot
•Hypertension 2. Carvedilol 3.25 • ACE inhibitor formation
•Atrial fibrillation mg PO daily • Choleste • Decrease
•Hyperlipidemia 3. Lisinopril 5 rol blood
•Chronic renal mg PO daily medicati pressure
insufficiency 4. Ezetimide 10 on • Decrease blood
(baseline creatinine mg PO daily • Vasodilator pressure, helps
2.0) 5. Hydralazine 25 • Diuretic with heart
•Cerebral vascular mg PO 4x daily • Electroly failure,
accident (CVA) 6. Torsemide 20 te decrease
with no residual mg PO bid replacem chance of
deficits 7. KCL 20 meq PO ent death from
•Heart failure daily • Anticoagulant heart attack
(systolic) 8. Warfarin 5 mg PO • Antidiabetic • Decreas
secondary to daily e
ischemic 9. Glyburide 5 mg choleste
cardiomyopathy PO daily rol
•MI with stent x2 to • Decrease
LAD 4 blood
years ago pressure
• Decrease
swelling,
NURSING MISC CS HEART FAILURE EXAM QUESTIONS AND
ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2022
