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N364: Hear Failure Case Study/Davis Questions with Correct Answers

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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...

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  • October 22, 2024
  • 31
  • 2024/2025
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  • N364: Hear Failure
  • N364: Hear Failure
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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



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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

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- 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


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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



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