Term
| The client has hypertension and asks the nurse how this can lead to heart failure. What is the best response by the nurse? |
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Definition
| The client has hypertension and asks the nurse how this can lead to heart failure. What is the best response by the nurse? |
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Term
| The client comes to the emergency department complaining of coughing and difficulty breathing. The client’s diagnosis is heart failure. He asks the nurse how difficulty breathing could be a heart problem. What is the best response by the nurse? Select all that apply. |
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Definition
| 1.“The left side of your heart has weakened and blood has entered your 2.“What you have is called congestive heart failure.” |
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Term
| The nurse teaches the client about digoxin (Lanoxin) toxicity and determines that learning has occurred when the client makes which statement(s)? Select all that apply. |
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Definition
1.“I can drink orange juice every morning.”
2.“If I have nausea, it means I must stop the medication.”
3.“I must check my pulse and not take the medication if it is less than 60.” |
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Term
| The nurse teaches the client about lisinopril (Prinivil) and evaluates that additional teaching is required when the client makes which statement? |
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Definition
| “I don’t need to worry about having blood tests done.” |
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Term
| 5 The client will receive an IV infusion of milrinone (Primacor) as treatment for acute heart failure. What is the priority plan of the nurse? |
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Definition
| Plan to monitor the ECG continuously. |
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Term
| The physician orders metoprolol (Toprol-XL) for several clients. The nurse will hold the medication and contact the physician for which client? |
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Definition
| The client with chronic bronchitis |
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Term
| The client receives digoxin (Lanoxin). Which assessment findings would indicate adverse effects to this medication? |
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Definition
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Term
| The nurse volunteers at a senior citizen center. The nurse assesses which senior citizen as having the greatest risk of developing heart failure? |
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Definition
| A 69-year-old black male with hypertension |
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Term
| The client receives furosemide (Lasix) and digoxin (Lanoxin) together. Which laboratory findings will the nurse assess as increasing the client’s risk for digoxin (Lanoxin) toxicity? |
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Definition
| Hypokalemia and hypocalcemia |
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Term
| The client receives captopril (Capoten) as treatment for heart failure. Which adverse effect will the nurse plan to report to the physician? |
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Definition
| The client develops a cough |
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Term
| The client receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing assessment following the initial administration of this drug? |
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Definition
| Assess the client’s blood pressure. |
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Term
| The client takes insulin for diabetes mellitus. The physician orders metoprolol (Lopressor) for hypertension. After medication teaching, the nurse determines that learning has occurred when the client makes which statement? |
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Definition
| “I might need less insulin when I take metoprolol (Lopressor).” |
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Term
| The nurse administers isosorbide dinitrate (Isordil) sublingually to the client. What is the best instruction to give the client? |
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Definition
| “Do not talk or drink while the tablet is dissolving.” |
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Term
| The client has heart failure and receives digoxin (Lanoxin). Prior to discharge, what will the best teaching plan of the nurse include? |
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Definition
| “Report a weight gain of 2 or more pounds per day.” |
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Term
| 15 The client has a history of cardiac disease and receives digoxin (Lanoxin). The nurse determines that education about dietary needs with this medication has been effective when the client makes which selection for lunch? |
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Definition
| Baked fish, sweet potatoes, and banana pudding |
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Term
| Which individual listed below would be at the greatest risk for developing heart disease? |
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Definition
| 68-year-old with stage 2 hypertension and recent myocardial infarction |
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Term
| Which statement is accurate regarding the physiological changes associated with heart failure? |
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Definition
| Cardiac remodeling occurs after prolonged ventricular hypertrophy. |
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Term
| Which of the following would lead to an increase in cardiac output? |
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Definition
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Term
| Which of the following medications would be of most help to increase myocardial contractility in a patient with heart failure? |
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Definition
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Term
| Lisinopril (Prinivil) is often used to treat heart failure because it lowers blood volume. Which of the following best explains how lisinopril lowers blood volume? |
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Definition
| 4. It lowers aldosterone secretion, a hormone that increases sodium reabsorption. |
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Term
| Which statement is accurate regarding the use of beta-adrenergic blockers for use in patients with heart failure? |
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Definition
| 1. They are generally used in combination with other heart-failure drugs. |
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Term
| Which vital sign is of greatest concern to the nurse prior to administering digoxin (Lanoxin)? |
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Definition
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Term
| Which of the following is the most serious adverse effect associated with Milrinone (Primacor)? |
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Definition
| 2. Ventricular dysrhythmia |
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