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NSG 221- HF Herzing University - Question and answers 100% correct

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NSG 221- HF Herzing University - Question and answers 100% correct NSG 221- HF heart failure (HF) - correct answer the inability of the heart to pump sufficiently blood to meet the needs of the tissues for oxygen and nutrients myocardial disease in which there is a problem with the contract...

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  • May 28, 2024
  • 17
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nsg 221 hf
  • nsg 221 hf herzing university
  • nsg 221 hf herzing university question and answ

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  • Herzing University
  • NSG 221
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NSG 221- HF
heart failure (HF) - correct answer the inability of the heart to pump sufficiently blood to meet the needs
of the tissues for oxygen and nutrients
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 is a progressive, lifelong disorder
characterized by fluid overload or inadequate tissue perfusion managed with lifestyle modifications & drugs
pathophys - correct answer a decrease in CO that results in S/S fo HF (SOB, edema, fatigue)
depends where the back up is for the signs and symptoms but goes through same physiologal process
increase myocardial contractility
increase cardiac workload
cell stretching
compensatory hypertrophy & dilation RAAS actication
va & water retention activation of norepinephrine & ANP tachycardia
full stress on myocardium
CHF
R sided HF manifestations - correct answer viscera & peripheral congestion (due to can't eject blood into body)
JVD
dependent edema (fluid pooling in legs when legs are handing off side of bed, or sacral edema if laying down)
hepatolegaly (enlargement of liver)
ascities (enlargement of stomach)
weight gain cor pulomnale (r sided hypertrophy due to r sided tension fatigue
increase peripheral venous pressure
enlarged spleen
secondary to chronic pulmonary problems
anorexia, GI distress
weight gain
L sided HF manifestations - correct answer pulmonary congestion crackles
S3/ventriculat gallop
dyspenia on exertion (DOE)
orthopena (may need to sit-in certain position to be able to breath)
dry, non productive cough initially (could progress to productive cough)
ogliuria (low urine output)
paroxysmal nocturnal dyspenia (wake up from sleep with need to breathe)
elevated pulmonary capillary wedge pressure cough wheezes
blood tinge sputum tachypenia
restlessness
confusion (not enough o2 to brain)
exertion dyspenia
cyanosis
assessment - correct answer focus:
effectiveness of therapy (taking meds, are the meds working, do you need to change the meds)
pts self management
S/S of increased HF
emotional or psychosocial response lab tests (BNP , echo, cardiac cath, liver function, x ray, EKG, BUN, creatine, CBC)
health history:
how are kidneys
cardiac problems valve disease
physical examination:
listen to lungs
extra HS
weak pulse
belly (soft, nontender)
enlarged liver?
o2 stat - want above 90

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