Med surg exam 3 galen Solutions A+ 2024

Types of heart failure: - Correct Answer Disorders that increase workload of heart & disorders that interfere with heart pumping ability. Heart failure: - Correct Answer The left ventricle, right ventricle, or both fail as pumps. First side to fail - Correct Answer The left side fails first & the right side fails next as a result of left side failure. S/S of L side failure - Correct Answer Pulmonary: anxious, pale, tachycardic, auscultation of lung reveals crackles or wheezes, dyspnea, cough. S/S of R side failure - Correct Answer Jugular distention, abdominal engorgement, dependent edema, fatigue, weight gain, decreased urine output Drugs used for heart failure: - Correct Answer Cardiac glycosides/ digoxin Loop diuretic/ lasix/ HCTZ Before admin of digoxin: - Correct Answer Check apical pulse, less than 60: hold and contact physician, monitor potassium levels Dig toxicity - Correct Answer Confusion, vision changes (halos), irregular pulse, anorexia, N/V, diarrhea, palpitations Before admin of lasix: - Correct Answer Monitor I&O, BP, weight Administer in AM to avoid nocturia, monitor potassium levels Position for Heart failure: - Correct Answer Semi or high fowlers Nursing interventions: - Correct Answer Cough & deep breathe Q2hrs Activity & diet: - Correct Answer Frequent rest periods, pacing activities, relaxation techniques Small, frequent meals Monitor... For heart failure - Correct Answer V/S, heart & lung sounds, LOC, ECG, enforce bed rest Discharge info for Heart failure: - Correct Answer Simple explanation of HF, effects & treatment. Discuss diet, exercise, and drug therapy. Explain s/s that should be reported to physician. Sources & support offered by American heart association