The nurse is performing an assessment on a 57-year-old client with newly diagnosed heart failure. The product of which factors determine a client's cardiac output?
Heart rate and ejection fraction
Heart rate and urinary output
Stroke volume and urinary output
Stroke volume and ...
The nurse is performing an assessment on a57-year-old client with newly diagnosed heart
failure. The product of which factors determine aclient's cardiacoutput?
Heart rate and ejection fraction
Heart rate and urinary output
Stroke volume and urinary output
Stroke volume and heart rate - ANS Stroke volume and heart rate
A nurse is on orientation in the coronary care unit(CCU) and learning about theFrank-Starling
mechanism. Which statement by the nurse iscorrect?
"The less the heart fills withblood, the stronger the force of cardiaccontraction."
"The more the heart fills withblood, the weaker the force of cardiaccontraction."
"The Frank-Starling mechanism has no effect on theheart, only on the cardiacvessels."
" The more the heart fills withblood, the stronger the force of cardiaccontraction." - ANS
"The more the heart fills withblood, the stronger the force of cardiaccontraction."
A client recently admitted to the coronary care unit(CCU) with left heart failure complains of
suddendyspnea, anxiety, and feelings of"drowning." What is the most likely cause of these
changes?
Myocardial infarction
Cardiogenic pulmonary edema
Hyperglycemia
Pulmonary embolism - ANS Cardiogenic pulmonary edema
,The nurse is admitting a client to the coronary care unit(CCU) and is assessing risk factors for
heart failure. What is the most concerning riskfactor?
Body mass index(BMI) of 18.0
Influenza
Blood pressure of188/122 mm/Hg
Total cholesterol of 184mg/dL - ANS Blood pressure of188/122 mm/Hg
A nurse is assessing a client and notices pitting edema in the lower legs. The client has a
history of mild congestive heart failure(CHF), which is controlled withmedication, and reports
that the swelling has become worse lately. Which could the increased edemaindicate?
The client has increased physical activity.
The client has not been compliant with medications.
The client has been under stress.
The client has a possible progression of CHF. - ANS The client has a possible progression
of CHF.
ationale: Increased edema in a client with known congestive heart failure is common and can
R
indicate a progression of thedisease, as perfusion is further compromised. A client with
increased edema may need medications adjusted or may need to have further lifestyle
management. The nurse should encourage compliance and should stress the importance of
avoiding foods and activities that could contribute to edema and decreased tissue perfusion.
A nurse working in a community health center is developing an educational program for clients
who are at risk for heart failure. Which modifiable risk factor should be included in thisprogram?
(Select all thatapply.)
Stress
Gender
Obesity
Cigarette smoking
Age
, Race - ANS Stress
Obesity
Cigarette smoking
African Americans are more at risk for heart failure. What are the most important risk factors in
thispopulation? (Select all thatapply.)
Obesity
Renal insufficiency
Hypotension
Hypertension
Low levels of HDL - ANS Obesity
Renal insufficiency
Hypertension
Low levels of HDL
ationale: Hypertension, renalinsufficiency, obesity, and low levels of HDL(which increases risk
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ofatherosclerosis) are all contributing risk factors for heart failure in theAfrican-American
population. Hypotension is not a risk factor for heart failure in any population.
A client is learning about alow-sodium diet due to heart failure. Which food does the client
select for lunch to demonstrate understanding of alow-sodium diet?
Hot dog
Ham
Turkey breast
Shrimp - ANS Turkey
ationale: The best selection for the client is 3.5 ounces ofturkey, as it contains between 63
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and 76 mg of sodium. A client who has heart failure should not consume more than2,000 mg of
sodium per day. A3.5-ounce piece of roasted ham contains approximately1,400 mg of sodium.
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