1
Chapter 34 Heart Failure Lewis.
Medical Surgical Nursing 10th
edition. Questions and Correct
Answers. Graded A
A 53-year-old patient with Stage D heart failure and type 2 diabetes asks
the nurse whether heart transplant is a possible therapy. Which response
by the nurse is most appropriate?
a. "Because you have diabetes, you would not be a candidate for a heart
transplant."
b. "The choice of a patient for a heart transplant depends on many different
factors."
c. "Your heart failure has not reached the stage in which heart transplants
are needed."
d. "People who have heart transplants are at risk for multiple complications
after surgery." - ANSb. The choice of a patient for a heart transplant
depends on many different factors.
Indications for a heart transplant include end-stage heart failure (Stage D),
but other factors such as coping skills, family support, and patient
motivation to follow the rigorous posttransplant regimen are also
considered. Diabetic patients who have well-controlled blood glucose levels
may be candidates for heart transplant. Although heart transplants can be
associated with many complications, this response does not address the
patients question.
1
, 2
A patient has recently started on digoxin (Lanoxin) in addition to furosemide
(Lasix) and captopril for the management of heart failure. Which
assessment finding by the home health nurse is a priority to communicate
to HCP?
A. Presence of +1 to +2 edema in feet and ankles
B. Palpable liver edge 2 cm below the ribs on the right side
C. Serum potassium level 3.0 after 1 week of therapy
D. Weight increases from 120 to 122 pounds over 3 days - ANSC. Serum
potassium level 3.0 after 1 week of therapy
Hypokalemia can predispose the patient to life-threatening dysrhythmias
(PVCs) and potentiate digoxin toxicity and the action of it.
A patient in the intensive care unit with acute decompensated heart failure
(ADHF) complains of severe dyspnea and is anxious, tachypneic, and
tachycardic. All of the following medications have been ordered for the
patient. The nurse's priority action will be to
a. give IV morphine sulfate 4 mg.
b. give IV diazepam (Valium) 2.5 mg.
c. increase nitroglycerin (Tridil) infusion by 5 mcg/min.
d. increase dopamine (Intropin) infusion by 2 mcg/kg/min. - ANSA. Give IV
morphine sulfate 4 mg
2
Chapter 34 Heart Failure Lewis.
Medical Surgical Nursing 10th
edition. Questions and Correct
Answers. Graded A
A 53-year-old patient with Stage D heart failure and type 2 diabetes asks
the nurse whether heart transplant is a possible therapy. Which response
by the nurse is most appropriate?
a. "Because you have diabetes, you would not be a candidate for a heart
transplant."
b. "The choice of a patient for a heart transplant depends on many different
factors."
c. "Your heart failure has not reached the stage in which heart transplants
are needed."
d. "People who have heart transplants are at risk for multiple complications
after surgery." - ANSb. The choice of a patient for a heart transplant
depends on many different factors.
Indications for a heart transplant include end-stage heart failure (Stage D),
but other factors such as coping skills, family support, and patient
motivation to follow the rigorous posttransplant regimen are also
considered. Diabetic patients who have well-controlled blood glucose levels
may be candidates for heart transplant. Although heart transplants can be
associated with many complications, this response does not address the
patients question.
1
, 2
A patient has recently started on digoxin (Lanoxin) in addition to furosemide
(Lasix) and captopril for the management of heart failure. Which
assessment finding by the home health nurse is a priority to communicate
to HCP?
A. Presence of +1 to +2 edema in feet and ankles
B. Palpable liver edge 2 cm below the ribs on the right side
C. Serum potassium level 3.0 after 1 week of therapy
D. Weight increases from 120 to 122 pounds over 3 days - ANSC. Serum
potassium level 3.0 after 1 week of therapy
Hypokalemia can predispose the patient to life-threatening dysrhythmias
(PVCs) and potentiate digoxin toxicity and the action of it.
A patient in the intensive care unit with acute decompensated heart failure
(ADHF) complains of severe dyspnea and is anxious, tachypneic, and
tachycardic. All of the following medications have been ordered for the
patient. The nurse's priority action will be to
a. give IV morphine sulfate 4 mg.
b. give IV diazepam (Valium) 2.5 mg.
c. increase nitroglycerin (Tridil) infusion by 5 mcg/min.
d. increase dopamine (Intropin) infusion by 2 mcg/kg/min. - ANSA. Give IV
morphine sulfate 4 mg
2
