©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
N364: Hear Failure Case Study/Davis Questions with
Correct Answers
how much weight gain is concerning in an individual with heart failure? - Ans:✔✔-gaining 3 lbs or more
in a 24 hour period
- suggest volume overload
________ is the most common risk factor for HF followed by __________ - Ans:✔✔-HTN
CAD
What heart test tells you ejection fraction? what should the ejection fraction be? - Ans:✔✔--
echocardiogram
- 55%
why do you want to look at the labs for Hgb/Hct in pts with HF - Ans:✔✔-- low levels will exacerbate HF
b/c there isn't enough O2 being carried where it needds to go
what lab is specific to heart failure and is only really elevated when a pt is in heart failure? - Ans:✔✔-BNP
Page 1/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
If ejection fraction is below 40 the pt should be on a ___________ unless contraindicated. - Ans:✔✔-
beta blocker and ACE inhibitor
what are the three main symptoms of heart failure - Ans:✔✔-- SOB
- fluid retention
- fatigue
If patient has pink frothy sputum coming from mouth what should you be concerned about and what
should you do? - Ans:✔✔-- flash pulmonary edema
- edema is really bad; check O2 sats and give vasodilator to open up vessels and decrease pressure
what medication should you use with caution if the patient has high creatinine/kidney problems -
Ans:✔✔-ACE inhibitors
what are the different classes used to categorize heart failure? - Ans:✔✔-Class 1-4
- the higher the number the worse their HF
describe class 1 HF - Ans:✔✔-- no limits in activity
describe class 2 HF - Ans:✔✔-- slightly limited activity
- greater than or equal to ordinary exertion is needed to produce symptoms
Page 2/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- ex: climbing 1 flight of stairs
describe class 3 HF - Ans:✔✔-- marked limitation in activity
- less than ordinary exertion produces symptoms
describe class 4 HF - Ans:✔✔-- unable to carry out any activity without symptoms or symptoms at rest
what medication can be given to someone with high K to lower it - Ans:✔✔-- IV regular insulin will cause
the K to shift back into the cell thus decreasing it
echocardiogram - Ans:✔✔-ultrasound of the heart
- tells you ejection fraction (preserved vs reduced ejection fraction)
EKG - Ans:✔✔-(electrocardiogram) instrument used in measuring the electrical potential during a
heartbeat
why should an EKG be done on pts thought to be in HF - Ans:✔✔-- sometimes arrhythmias can
precipitate HF events and also you may see the effects o low or higher K
why is a CBC done in HF - Ans:✔✔-for Hgb/Hct
what does the BMP tell you - Ans:✔✔-electrolytes/hydration status
BNP - Ans:✔✔-brain natriuretic peptide
Page 3/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- elevated in HF and can tell you if they're in moderate or severe HF
what electrolyte is known to affect the heart - Ans:✔✔-Mg
what lab should you look at if you are going to be giving your patient a lot of diureteics? - Ans:✔✔--
creatinine b/c diuretics can be very hard on the kidneys
what is SCD - Ans:✔✔-sudden cardiac death
what is AICD what should you do if it goes off? - Ans:✔✔-- device that triggers shock to be delivered to
pt if it detects a deadly arrhythmia that would usually cause SCD
- there is no warning before the shock
- if it fires the person shouldn't drive for at least 6 months
- if it fires and the person goes down you should check their pulse and start CPR
what should you assess before giving a statin - Ans:✔✔-liver function
a depressed ST segment is a sign of ____________ - Ans:✔✔-ischemia
1. Two risk factors for coronary artery disease that increase the workload of the heart and increase
myocardial oxygen demand are:
A. Hypertension and cigarette smoking
Page 4/31
FIRST PUBLISH OCTOBER 2024
N364: Hear Failure Case Study/Davis Questions with
Correct Answers
how much weight gain is concerning in an individual with heart failure? - Ans:✔✔-gaining 3 lbs or more
in a 24 hour period
- suggest volume overload
________ is the most common risk factor for HF followed by __________ - Ans:✔✔-HTN
CAD
What heart test tells you ejection fraction? what should the ejection fraction be? - Ans:✔✔--
echocardiogram
- 55%
why do you want to look at the labs for Hgb/Hct in pts with HF - Ans:✔✔-- low levels will exacerbate HF
b/c there isn't enough O2 being carried where it needds to go
what lab is specific to heart failure and is only really elevated when a pt is in heart failure? - Ans:✔✔-BNP
Page 1/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
If ejection fraction is below 40 the pt should be on a ___________ unless contraindicated. - Ans:✔✔-
beta blocker and ACE inhibitor
what are the three main symptoms of heart failure - Ans:✔✔-- SOB
- fluid retention
- fatigue
If patient has pink frothy sputum coming from mouth what should you be concerned about and what
should you do? - Ans:✔✔-- flash pulmonary edema
- edema is really bad; check O2 sats and give vasodilator to open up vessels and decrease pressure
what medication should you use with caution if the patient has high creatinine/kidney problems -
Ans:✔✔-ACE inhibitors
what are the different classes used to categorize heart failure? - Ans:✔✔-Class 1-4
- the higher the number the worse their HF
describe class 1 HF - Ans:✔✔-- no limits in activity
describe class 2 HF - Ans:✔✔-- slightly limited activity
- greater than or equal to ordinary exertion is needed to produce symptoms
Page 2/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- ex: climbing 1 flight of stairs
describe class 3 HF - Ans:✔✔-- marked limitation in activity
- less than ordinary exertion produces symptoms
describe class 4 HF - Ans:✔✔-- unable to carry out any activity without symptoms or symptoms at rest
what medication can be given to someone with high K to lower it - Ans:✔✔-- IV regular insulin will cause
the K to shift back into the cell thus decreasing it
echocardiogram - Ans:✔✔-ultrasound of the heart
- tells you ejection fraction (preserved vs reduced ejection fraction)
EKG - Ans:✔✔-(electrocardiogram) instrument used in measuring the electrical potential during a
heartbeat
why should an EKG be done on pts thought to be in HF - Ans:✔✔-- sometimes arrhythmias can
precipitate HF events and also you may see the effects o low or higher K
why is a CBC done in HF - Ans:✔✔-for Hgb/Hct
what does the BMP tell you - Ans:✔✔-electrolytes/hydration status
BNP - Ans:✔✔-brain natriuretic peptide
Page 3/31
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- elevated in HF and can tell you if they're in moderate or severe HF
what electrolyte is known to affect the heart - Ans:✔✔-Mg
what lab should you look at if you are going to be giving your patient a lot of diureteics? - Ans:✔✔--
creatinine b/c diuretics can be very hard on the kidneys
what is SCD - Ans:✔✔-sudden cardiac death
what is AICD what should you do if it goes off? - Ans:✔✔-- device that triggers shock to be delivered to
pt if it detects a deadly arrhythmia that would usually cause SCD
- there is no warning before the shock
- if it fires the person shouldn't drive for at least 6 months
- if it fires and the person goes down you should check their pulse and start CPR
what should you assess before giving a statin - Ans:✔✔-liver function
a depressed ST segment is a sign of ____________ - Ans:✔✔-ischemia
1. Two risk factors for coronary artery disease that increase the workload of the heart and increase
myocardial oxygen demand are:
A. Hypertension and cigarette smoking
Page 4/31
