A patient with right-sided HF is being treated. Which should the nurse expect if the
patient is responding to therapy?
Diminished pulses
Bradycardia occurs
JVD and edema resolve Hypotension occurs - ANSWER - JVD and edema resolve
In preparing a patient with heart failure for discharge, what statements indicate the
patient and patient's family understand care after discharge?
I'll fix meals according to a low-potassium diet
I'll call the doctor if I gain five pounds in a week
, 3
It's OK if I miss my diuretic now and then, it isn't always convenient to have to find a
bathroom
I'll begin to exercise to 3 weeks after I leave - ANSWER - I'll call the doctor if I gain five
pounds in a week.
A patient with a history of aortic regurgitation due to rheumatic fever develops severe
dyspnea, fatigue, and pulmonary edema. Which should the nurse anticipate?
A patient with aortic stenosis on ECHO reports no symptoms. What developments
should the nurse anticipate over time?
The patient may respond well to treatment with ACE-I or ARBs
The patient will develop dyspnea, fatigue on exertion, and chest pain
The patient will likely develop pulmonary hypertension
Surgical replacement or repair is indicated at the time of diagnosis - ANSWER - The
patient will develop dyspnea, fatigue on exertion, and chest pain
EtCO2 monitoring is indicated for which patient?
Patient with normal respiratory rate and depth
Patient receiving patient-controlled analgesia
Patient with orders for palliative care
Patient with decreased intracranial pressure - ANSWER - Patient receiving patient-
controlled analgesia
, 4
Bedside bronchoscopy is ordered for your patient with pneumonia. What 2 actions do
you anticipate will be your role in the procedure
Hand off report to the staff performing the bronchoscopy
Ensure suction is available during the procedure
Assess patient for levels of sedation and pain
Providing oral fluids up to 15 minutes prior to the procedure - ANSWER - Ensure suction
is available during the procedure
Assess patient for levels of sedation and pain
A patient with a history of COPD and pulmonary hypertension on conventional therapy
develops worsening symptoms. Cardiac catheterization reveals elevated pulmonary
vascular resistance and the PA pressure does not respond to calcium channel blockers
or PDE-5 inhibitors. Which should the nurse initially anticipate?
A patient with pulmonary artery hypertension is receiving apoprotein. Which intervention
is indicated?
Warm the bag to room temperature before hanging
If that patient reports shortness of breath, stop the infusion immediately
Obtain pulmonary hemodynamics before hanging each new bag
Have the next bag's tubing primed in advance - ANSWER - Have the next bag's tubing
primed in advance
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