Week 11 Sherpath: Collaborative Care of
Heart Failure questions and correct
answers latest version
A critically ill patient with acute decompensated heart failure (ADHF) arrives
at the intensive care unit. The patient's plan of care includes the standard of
care for ADHF. The patient's spouse asks: "What is allowing his heart to rest
and not work so hard?" Which response by the nurse best explains the
intervention most responsible for that aspect of the plan of care?
A. Diuretics
B. Foley catheter
C. Input/output measures
D. Ventricular assist device (VAD) ANS✔✔ D. Ventricular assist device (VAD)
VADs can be used to maintain the pumping action of the heart, thus easing
the heart's workload.
A patient with acute decompensated heart failure (ADHF) is experiencing
significant volume overload, dyspnea, and pulmonary edema. The patient is
currently in Fowler's position on mechanical ventilation. The nurse
understands that which intervention would likely be ordered?
A. Monitoring
B. Ultrafiltration
C. Repositioning
D. Vasopressors ANS✔✔ B. Ultrafiltration
The patient should be treated with ultrafiltration to rapidly remove
intravascular fluid volume while maintaining hemodynamic stability.
, A patient with heart failure (HF) is at a follow-up appointment after being
discharged from the hospital 10 days ago. The patient complains of fatigue
and dyspnea, and is unable to move around easily. On assessment, the
patient's PaO2 is 90%. Which nursing intervention appropriately addresses
the symptoms of this patient?
A. Ambulation
B. Oxygen therapy
C. Teaching about end-of-life care
D. Teaching on the risk factors for HF ANS✔✔ B. Oxygen therapy
Treatment for HF includes oxygen therapy if indicated. A patient
experiencing fatigue and dyspnea with a PaO2 of below 90% would require
oxygen therapy.
The nurse is reviewing the discharge materials and new prescriptions for a
patient who was admitted for acute decompensated heart failure (ADHF).
Which drug prescription would be a cause for concern for the nurse?
A. Digitalis
B. Bumetanide
C. Hydrochlorothiazide
D. Sodium nitroprusside ANS✔✔ D. Sodium nitroprusside
A vasodilator like sodium nitroprusside is not an appropriate drug for a
patient to take after discharge, as it is administered as a continuous
intravenous infusion.
An African American patient is diagnosed with heart failure (HF) and
prescribed drug therapy. Which drug orders would the nurse question?
A. Low-dose diuretics
B. Positive inotropic therapy
C. Angiotensin-converting enzyme (ACE) inhibitors
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