Nur 254 Chap 29
Exam Questions
with Complete
Solutions Graded
A+
Denning [Date] [Course title]
, Heart Failure - Correct Ans: The inability of the heart to pump sufficient blood to meet the needs of the
tissues for oxygen and nutrients
A syndrome characterized by fluid overload or inadequate tissue perfusion
The term heart failure indicates myocardial disease, in which there is a problem with the contraction of
the heart (systolic failure) or filling of the heart (diastolic failure).
Some cases are reversible.
Most HF is a progressive, lifelong disorder managed with lifestyle changes and medications.
Right Sided - Correct Ans: Viscera and peripheral congestion
Jugular venous distention (JVD)
Dependent edema
Hepatomegaly
Ascites
Weight gain
Left Sided - Correct Ans: Pulmonary congestion, crackles
S3 or "ventricular gallop"
Dyspnea on exertion (DOE)
Orthopnea
Dry, nonproductive cough initially
Oliguria
Assessment - Correct Ans: Focus
Effectiveness of therapy
Patient's self-management
S&S if increased HF
Emotional or psychosocial response
Health history
PE
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