BRAINSCAPE1
Medsurg Cardiac ATI Exam with
complete solutions latest version
heart failure occurs when the heart muscle is unable to pump effectively, resulting in
inadequate _____, myocardial hypertrophy, and pulmonary/systemic congestion. -
CORRECT ANSWER-Heart failure
_____ is a severe, life threatening accumulation of fluid in the alveoli and interstitial
spaces of the lung that can result from severe heart failure - CORRECT ANSWER-
pulmonary edema
class 1 HF - CORRECT ANSWER-client exhibits no symptoms with activity.
class 2 HF - CORRECT ANSWER-client has symptoms with ordinary exertion
class 3 HF - CORRECT ANSWER-client displays symptoms with minimal exertion
class 4 HF - CORRECT ANSWER-client has symptoms at rest
____ results in inadequate left ventricle cardiac output and consequently in inadequate
tissue perfusion - CORRECT ANSWER-Left sided heart failure
two types of left sided HF - CORRECT ANSWER-Systolic HF- ejection fraction below
40&, pulmonary and systemic congestion
Diastolic HF- inadequate relaxation or "stiffening" prevents ventricular filling
____ results in inadequate right ventricle output and systemic venous congestion
(peripheral edema) - CORRECT ANSWER-right sided HF
Health promotions to prevent HF - CORRECT ANSWER-exercises
Diet low in salt, fluid restrictions
no smoking
follow med regimen
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risk factors of left sided HF - CORRECT ANSWER-hypertension
CAD
angina
MI
Valvular disease
Risk factors of right sided HF - CORRECT ANSWER-left sided HF
right ventricular MI
Pulmonary problems
risk factors of high-output heart failure - CORRECT ANSWER-increased metabolic
needs
septicemia
anemia
hyperthyroidism
risk factors of cardiomyopathy - CORRECT ANSWER-CAD
infection or inflamed heart muscle
alcohol
heredity
____ is elevated in older adults, putting them at risk for CAD and HF - CORRECT
ANSWER-systolic BP
Subjective and objective data of ______
Dyspnea, orthopnea
fatigue
displaced apical pulse
S3 heart sound is gallop
pulmonary congestion- crackles
frothy sputum
altered mental status
oliguria - CORRECT ANSWER-Left sided HF
subjective and objective data of ______
Jugular vein distention
Ascending dependent edema
adbominal distention, ascites
fatigue, weakness
nausea and anorexia
polyuria at rest
liver enlargement and tenderness
weight gain - CORRECT ANSWER-right-sided HF
most common type of cardiomyopathy - CORRECT ANSWER-dilated
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_____ is impaired to the lungs when the cardiac pump is compromised - CORRECT
ANSWER-blood circulation
what is seen in cardiomyopathy - CORRECT ANSWER-fatigue, weakness
HF(left with dilated, right with restrictive)
Dysrhythmias
S3 gallop
Cardiomegaly
angina- hypertrophic type
the presence of other chronic illnesses (____ and _____) can mask the presence of HF
in older adults clients. - CORRECT ANSWER-lung disease
kidney failure
Human B-type natriuretic peptides (hBPN) is elvated in _____ - CORRECT ANSWER-
HF
in clients who have dyspnea, elevated ____ confirms a diagnosis of HF rather than a
problem originating in the rest system. - CORRECT ANSWER-hBNP
hBNP below ____ indicates no HF - CORRECT ANSWER-100
hBNP between ___-___ suggest HF - CORRECT ANSWER-100 to 300
hBNP 300
hBNP 600
hBNP 900 - CORRECT ANSWER-mild HF
moderate HF
severe HF
mixed venous oxygen saturation (SVO2) is directly related to cardiac output. a ___ in
SvO2 indicated worsening cardiac function - CORRECT ANSWER-drop
an ___ is used to measure systolic and diastolic function of the heart - CORRECT
ANSWER-ultrasound.
echo 2-D or 3-D
the volume of blood from the left ventricle to the lungs upon each beat. normal is 55% to
70% - CORRECT ANSWER-Left ventricle ejection fraction
the volume of blood pumped from the right ventricle to the lungs upon each beat.
normal is 45% to 60%. - CORRECT ANSWER-right ventricle ejection fraction
uses a transducer placed in the esophagus behind the heart to obtain a detailed view of
cardiac structures. - CORRECT ANSWER-transesophageal echocardiography TEE
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a chest x-ray can reveal ___ and ____ - CORRECT ANSWER-cardiomegaly and
pleural effusions
___ are used to decrease preload - CORRECT ANSWER-Diuretics
Loop diuretics are - CORRECT ANSWER-lasix and bumex
what are the potassium sparing diuretics - CORRECT ANSWER-spironolactone
Adminster Furosemide IV no faster than ___mg/min - CORRECT ANSWER-20
loop and thiazide diuretics can cause ____, - CORRECT ANSWER-hypokalemia
teach clients taking loop or thiazide diuretics to ingest foods and drinks that are high in
____ - CORRECT ANSWER-potassium
____ reducing agents help the heart pump more easily by altering the resistance to
contraction - CORRECT ANSWER-Afterload
what are after load reducing agents - CORRECT ANSWER-Ace inhibitors-Prils
angiotensin receptor 2 blockers- sartans
calcium channel blockers- cardizem
primacor
__ are contraindicated for clients who have renal deficiency - CORRECT ANSWER-
after load reducing agents :
Ace inhibitors-Prils
angiotensin receptor 2 blockers- sartans
calcium channel blockers- cardizem
primacor
when taking ace inhibitors watch for ____ - CORRECT ANSWER-hypotension
ace inhibitors can cause ____, a decreased sense of ___ or ___ - CORRECT
ANSWER-angioedema
taste
skin rash
after load reducing agents watch for increases levels of - CORRECT ANSWER-
Potassium
BRAINSCAPE1
Medsurg Cardiac ATI Exam with
complete solutions latest version
heart failure occurs when the heart muscle is unable to pump effectively, resulting in
inadequate _____, myocardial hypertrophy, and pulmonary/systemic congestion. -
CORRECT ANSWER-Heart failure
_____ is a severe, life threatening accumulation of fluid in the alveoli and interstitial
spaces of the lung that can result from severe heart failure - CORRECT ANSWER-
pulmonary edema
class 1 HF - CORRECT ANSWER-client exhibits no symptoms with activity.
class 2 HF - CORRECT ANSWER-client has symptoms with ordinary exertion
class 3 HF - CORRECT ANSWER-client displays symptoms with minimal exertion
class 4 HF - CORRECT ANSWER-client has symptoms at rest
____ results in inadequate left ventricle cardiac output and consequently in inadequate
tissue perfusion - CORRECT ANSWER-Left sided heart failure
two types of left sided HF - CORRECT ANSWER-Systolic HF- ejection fraction below
40&, pulmonary and systemic congestion
Diastolic HF- inadequate relaxation or "stiffening" prevents ventricular filling
____ results in inadequate right ventricle output and systemic venous congestion
(peripheral edema) - CORRECT ANSWER-right sided HF
Health promotions to prevent HF - CORRECT ANSWER-exercises
Diet low in salt, fluid restrictions
no smoking
follow med regimen
BRAINSCAPE1
, BRAINSCAPE1
risk factors of left sided HF - CORRECT ANSWER-hypertension
CAD
angina
MI
Valvular disease
Risk factors of right sided HF - CORRECT ANSWER-left sided HF
right ventricular MI
Pulmonary problems
risk factors of high-output heart failure - CORRECT ANSWER-increased metabolic
needs
septicemia
anemia
hyperthyroidism
risk factors of cardiomyopathy - CORRECT ANSWER-CAD
infection or inflamed heart muscle
alcohol
heredity
____ is elevated in older adults, putting them at risk for CAD and HF - CORRECT
ANSWER-systolic BP
Subjective and objective data of ______
Dyspnea, orthopnea
fatigue
displaced apical pulse
S3 heart sound is gallop
pulmonary congestion- crackles
frothy sputum
altered mental status
oliguria - CORRECT ANSWER-Left sided HF
subjective and objective data of ______
Jugular vein distention
Ascending dependent edema
adbominal distention, ascites
fatigue, weakness
nausea and anorexia
polyuria at rest
liver enlargement and tenderness
weight gain - CORRECT ANSWER-right-sided HF
most common type of cardiomyopathy - CORRECT ANSWER-dilated
BRAINSCAPE1
, BRAINSCAPE1
_____ is impaired to the lungs when the cardiac pump is compromised - CORRECT
ANSWER-blood circulation
what is seen in cardiomyopathy - CORRECT ANSWER-fatigue, weakness
HF(left with dilated, right with restrictive)
Dysrhythmias
S3 gallop
Cardiomegaly
angina- hypertrophic type
the presence of other chronic illnesses (____ and _____) can mask the presence of HF
in older adults clients. - CORRECT ANSWER-lung disease
kidney failure
Human B-type natriuretic peptides (hBPN) is elvated in _____ - CORRECT ANSWER-
HF
in clients who have dyspnea, elevated ____ confirms a diagnosis of HF rather than a
problem originating in the rest system. - CORRECT ANSWER-hBNP
hBNP below ____ indicates no HF - CORRECT ANSWER-100
hBNP between ___-___ suggest HF - CORRECT ANSWER-100 to 300
hBNP 300
hBNP 600
hBNP 900 - CORRECT ANSWER-mild HF
moderate HF
severe HF
mixed venous oxygen saturation (SVO2) is directly related to cardiac output. a ___ in
SvO2 indicated worsening cardiac function - CORRECT ANSWER-drop
an ___ is used to measure systolic and diastolic function of the heart - CORRECT
ANSWER-ultrasound.
echo 2-D or 3-D
the volume of blood from the left ventricle to the lungs upon each beat. normal is 55% to
70% - CORRECT ANSWER-Left ventricle ejection fraction
the volume of blood pumped from the right ventricle to the lungs upon each beat.
normal is 45% to 60%. - CORRECT ANSWER-right ventricle ejection fraction
uses a transducer placed in the esophagus behind the heart to obtain a detailed view of
cardiac structures. - CORRECT ANSWER-transesophageal echocardiography TEE
BRAINSCAPE1
, BRAINSCAPE1
a chest x-ray can reveal ___ and ____ - CORRECT ANSWER-cardiomegaly and
pleural effusions
___ are used to decrease preload - CORRECT ANSWER-Diuretics
Loop diuretics are - CORRECT ANSWER-lasix and bumex
what are the potassium sparing diuretics - CORRECT ANSWER-spironolactone
Adminster Furosemide IV no faster than ___mg/min - CORRECT ANSWER-20
loop and thiazide diuretics can cause ____, - CORRECT ANSWER-hypokalemia
teach clients taking loop or thiazide diuretics to ingest foods and drinks that are high in
____ - CORRECT ANSWER-potassium
____ reducing agents help the heart pump more easily by altering the resistance to
contraction - CORRECT ANSWER-Afterload
what are after load reducing agents - CORRECT ANSWER-Ace inhibitors-Prils
angiotensin receptor 2 blockers- sartans
calcium channel blockers- cardizem
primacor
__ are contraindicated for clients who have renal deficiency - CORRECT ANSWER-
after load reducing agents :
Ace inhibitors-Prils
angiotensin receptor 2 blockers- sartans
calcium channel blockers- cardizem
primacor
when taking ace inhibitors watch for ____ - CORRECT ANSWER-hypotension
ace inhibitors can cause ____, a decreased sense of ___ or ___ - CORRECT
ANSWER-angioedema
taste
skin rash
after load reducing agents watch for increases levels of - CORRECT ANSWER-
Potassium
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