Questions and Answers
What does JVD with the head of the patient's bed elevated at 45 degrees indicate?
Which clinical finding is the best indicator that IV furosemide and morphine treatment for acute decompensated heart failure has been effective?
Which topic should the nurse include in discharge teaching for a patient with systolic heart failure and an ejection fraction of 33%?
Study Notes
Heart Failure Assessment and Indicators
- Jugular vein distention (JVD) may indicate increased right atrial pressure when observed at a 45-degree head elevation.
- JVD serves as a sign of fluid overload rather than decreased fluid volume.
- Ineffective jugular vein valves or atherosclerosis do not cause JVD.
Treatment Effectiveness in Acute Decompensated Heart Failure
- In patients receiving IV furosemide (Lasix) and morphine for acute decompensated heart failure, a reduction in dyspnea while sitting at a 30-degree angle is the best indicator of treatment effectiveness.
- Weight loss and urine output can suggest positive outcomes but aren’t specific markers for treatment response compared to dyspnea improvement.
Discharge Teaching for Systolic Heart Failure
- It is crucial to explain the benefits and side effects of ACE inhibitors to patients with systolic heart failure and reduced ejection fraction (33%).
- Topics such as aerobic exercise, use of salt substitutes, and regular primary care appointments may be discussed, but the focus should remain on medication education and management.
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Description
Test your knowledge on heart failure with these flashcards from Lewis Chapter 34. This quiz covers key concepts, assessments, and nursing interventions related to heart failure and associated conditions. Ideal for nursing students and healthcare professionals looking to reinforce their understanding of the topic.
