Exam 26: Nursing Care of Patients With Heart Failure

The nurse is caring for a group of patients. Which patient should the nurse see first?

The nurse is preparing to administer bumetanide (Bumex) 0.50 mg IV. The available dose is 0.25 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is reviewing laboratory results for a newly admitted patient. Which result should be of most concern to the nurse?

A patient is receiving digoxin (Lanoxin) daily. Which symptom should the nurse report for follow-up related to the digoxin?

A patient with heart failure has clavicle muscle retractions, nostril flaring, and labored breathing. Vital signs are blood pressure 162/84 mm Hg, pulse 120 beats/min, and respirations 32/min. Which patient data requires immediate action?

The nurse reinforced teaching for a patient awaiting a heart transplant. Which statements indicate that the patient understands the usual criteria used for a potential heart donor? (Select all that apply.)

The nurse is caring for a patient and notes the patient is coughing up pink, frothy sputum. Which action should the nurse take?

The nurse is reviewing orders for a patient and notes the patient is prescribed valsartan/sacubitril (Entresto). Which medication in the patient's medication history would lead the nurse to seek clarification before administering the Entresto?

As part of discharge teaching, the nurse is instructing a patient on the use of digoxin (Lanoxin). What should be included in the teaching? (Select all that apply.)

The HCP informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has stage 3 heart failure. The patient asks what this means. Which explanation by the nurse is most appropriate?

The nurse is caring for a group of patients. Which patient is at highest risk for developing heart failure?

During a visit to the home of a patient with heart failure and diabetes, the nurse learns that the patient "feels strange." Data collected includes blood pressure 172/94 mm Hg, pulse 112 beats/min, respirations 22/min, heart rhythm regular, and coarse crackles in lower lung bases. What action should the nurse take?

The nurse is caring for a patient with pulmonary edema. The nurse should place the patient in which position?

The nurse is assessing a patient who underwent cardiac surgery. Which finding warrants a phone call to the HCP?

A patient with a potassium level of 3.0 mEq/L is to receive furosemide (Lasix) 20 mg by mouth. What action should the nurse take?

The nurse is reinforcing teaching for a patient being discharged home on captopril (Capoten). Which statement made by the patient indicates an understanding of the teaching?

The nurse is reviewing compensatory mechanisms with a patient in heart failure. What should the nurse include when providing this teaching? (Select all that apply.)

A patient with heart failure is prescribed bedrest, but becomes angry and walks to the bathroom independently to use the commode. How should the nurse handle this situation?

The nurse is teaching a patient who is receiving information about food choices high in potassium. Which food choice made by the patient indicates an understanding of the teaching? 1.1 cup of spaghetti noodles

The nurse is auscultating the lungs of a patient with heart failure. Which can the nurse expect to document?