Podcast
Questions and Answers
A patient with heart failure is prescribed an ACE inhibitor. What is the primary mechanism by which this medication benefits the patient?
A patient with heart failure is prescribed an ACE inhibitor. What is the primary mechanism by which this medication benefits the patient?
- Blocking the conversion of angiotensin I to angiotensin II, reducing vasoconstriction and aldosterone secretion. (correct)
- Increasing the heart rate to compensate for reduced stroke volume.
- Promoting sodium and water retention to increase preload.
- Enhancing myocardial contractility to increase cardiac output directly.
A patient diagnosed with heart failure exhibits Cheyne-Stokes respirations. Which underlying compensatory mechanism is most likely contributing to this breathing pattern?
A patient diagnosed with heart failure exhibits Cheyne-Stokes respirations. Which underlying compensatory mechanism is most likely contributing to this breathing pattern?
- Impaired gas exchange due to pulmonary edema and reduced lung compliance. (correct)
- Increased sympathetic nervous system activity leading to pulmonary vasoconstriction.
- Activation of the renin-angiotensin-aldosterone system causing fluid overload.
- Myocardial hypertrophy resulting in diastolic dysfunction and reduced cardiac output.
In a patient with acute decompensated heart failure who is volume overloaded, which of the following hemodynamic changes would warrant cautious administration of a loop diuretic?
In a patient with acute decompensated heart failure who is volume overloaded, which of the following hemodynamic changes would warrant cautious administration of a loop diuretic?
- Elevated pulmonary capillary wedge pressure (PCWP) and decreased cardiac output.
- Elevated PCWP and decreased SVR.
- Normal PCWP and increased systemic vascular resistance (SVR).
- Low PCWP and elevated SVR. (correct)
A patient with heart failure has developed atrial fibrillation with rapid ventricular response. Which combination of medications is most appropriate to control both the rate and rhythm, considering the patient's underlying condition?
A patient with heart failure has developed atrial fibrillation with rapid ventricular response. Which combination of medications is most appropriate to control both the rate and rhythm, considering the patient's underlying condition?
A patient with chronic heart failure is being transitioned from intravenous diuretics to oral medication before discharge. What key teaching point should the nurse emphasize regarding self-monitoring to detect early signs of worsening heart failure?
A patient with chronic heart failure is being transitioned from intravenous diuretics to oral medication before discharge. What key teaching point should the nurse emphasize regarding self-monitoring to detect early signs of worsening heart failure?
What is the underlying mechanism by which the Frank-Starling law of the heart contributes to compensatory mechanisms in heart failure?
What is the underlying mechanism by which the Frank-Starling law of the heart contributes to compensatory mechanisms in heart failure?
A patient with a history of hypertension and left ventricular hypertrophy is diagnosed with heart failure with preserved ejection fraction (HFpEF). What pathophysiological characteristic is primarily responsible for this condition?
A patient with a history of hypertension and left ventricular hypertrophy is diagnosed with heart failure with preserved ejection fraction (HFpEF). What pathophysiological characteristic is primarily responsible for this condition?
Which compensatory mechanism in heart failure is most directly associated with increased myocardial oxygen demand and potential for ischemia?
Which compensatory mechanism in heart failure is most directly associated with increased myocardial oxygen demand and potential for ischemia?
A patient with heart failure is prescribed spironolactone. What is the most critical electrolyte imbalance the nurse should monitor for, and what signs and symptoms might indicate its presence?
A patient with heart failure is prescribed spironolactone. What is the most critical electrolyte imbalance the nurse should monitor for, and what signs and symptoms might indicate its presence?
What is the primary rationale for restricting sodium intake in patients with heart failure?
What is the primary rationale for restricting sodium intake in patients with heart failure?
During an assessment, a nurse auscultates an S3 heart sound in a patient with dilated cardiomyopathy. What is the most likely mechanism producing this sound?
During an assessment, a nurse auscultates an S3 heart sound in a patient with dilated cardiomyopathy. What is the most likely mechanism producing this sound?
A patient with worsening dyspnea is suspected of having acute pulmonary edema. Which diagnostic finding would most strongly support this diagnosis?
A patient with worsening dyspnea is suspected of having acute pulmonary edema. Which diagnostic finding would most strongly support this diagnosis?
A patient with severe heart failure is being considered for cardiac resynchronization therapy (CRT). What are the key criteria for determining the appropriateness of this intervention?
A patient with severe heart failure is being considered for cardiac resynchronization therapy (CRT). What are the key criteria for determining the appropriateness of this intervention?
In managing a patient with acute decompensated heart failure, when is the use of a vasodilator such as nitroglycerin contraindicated or require extreme caution?
In managing a patient with acute decompensated heart failure, when is the use of a vasodilator such as nitroglycerin contraindicated or require extreme caution?
What long-term adverse effect is most concerning with chronic use of high-dose loop diuretics in patients with heart failure?
What long-term adverse effect is most concerning with chronic use of high-dose loop diuretics in patients with heart failure?
Which beneficial counterregulatory mechanism offsets the effects of the Renin-Angiotensin-Aldosterone System in heart failure?
Which beneficial counterregulatory mechanism offsets the effects of the Renin-Angiotensin-Aldosterone System in heart failure?
What is the primary goal of using an intra-aortic balloon pump (IABP) in a patient with acute decompensated heart failure?
What is the primary goal of using an intra-aortic balloon pump (IABP) in a patient with acute decompensated heart failure?
What is the underlying pathophysiology of pulsus paradoxus in cardiac tamponade, a complication of pericardial effusion?
What is the underlying pathophysiology of pulsus paradoxus in cardiac tamponade, a complication of pericardial effusion?
What is the most life-threatening potential complication of performing a pericardiocentesis to treat cardiac tamponade?
What is the most life-threatening potential complication of performing a pericardiocentesis to treat cardiac tamponade?
A patient diagnosed with constrictive pericarditis is likely to exhibit which of the following cardiovascular findings?
A patient diagnosed with constrictive pericarditis is likely to exhibit which of the following cardiovascular findings?
Following a viral infection, a patient develops acute myocarditis leading to dilated cardiomyopathy. What cellular mechanism is most likely contributing to the myocardial damage?
Following a viral infection, a patient develops acute myocarditis leading to dilated cardiomyopathy. What cellular mechanism is most likely contributing to the myocardial damage?
A patient with confirmed acute myocarditis suddenly develops signs of heart failure. Which intervention is most crucial to prevent further cardiovascular decompensation?
A patient with confirmed acute myocarditis suddenly develops signs of heart failure. Which intervention is most crucial to prevent further cardiovascular decompensation?
A patient with infective endocarditis develops splinter hemorrhages and Osler's nodes. What pathophysiological event is most directly responsible for these clinical manifestations?
A patient with infective endocarditis develops splinter hemorrhages and Osler's nodes. What pathophysiological event is most directly responsible for these clinical manifestations?
A patient with a prosthetic heart valve is undergoing a dental procedure. Which guideline should the nurse follow regarding antibiotic prophylaxis to prevent infective endocarditis?
A patient with a prosthetic heart valve is undergoing a dental procedure. Which guideline should the nurse follow regarding antibiotic prophylaxis to prevent infective endocarditis?
A patient is diagnosed with infective endocarditis involving the mitral valve. For which potential embolic event should the nurse monitor most closely?
A patient is diagnosed with infective endocarditis involving the mitral valve. For which potential embolic event should the nurse monitor most closely?
What is the primary rationale for obtaining multiple blood cultures over a short period when diagnosing infective endocarditis?
What is the primary rationale for obtaining multiple blood cultures over a short period when diagnosing infective endocarditis?
Which of the following assessment findings would be most concerning in a patient with infective endocarditis?
Which of the following assessment findings would be most concerning in a patient with infective endocarditis?
A patient with a history of rheumatic fever presents with shortness of breath and fatigue. An echocardiogram reveals mitral stenosis. What is the pathophysiological mechanism related to murmur development?
A patient with a history of rheumatic fever presents with shortness of breath and fatigue. An echocardiogram reveals mitral stenosis. What is the pathophysiological mechanism related to murmur development?
A patient has had rheumatic fever. Which of the following long-term prophylactic measures is most important for a patient with a history of rheumatic fever?
A patient has had rheumatic fever. Which of the following long-term prophylactic measures is most important for a patient with a history of rheumatic fever?
A patient with a history of rheumatic heart disease develops atrial fibrillation. What is the priority nursing intervention related to this new dysrhythmia?
A patient with a history of rheumatic heart disease develops atrial fibrillation. What is the priority nursing intervention related to this new dysrhythmia?
A patient with acute rheumatic fever exhibits Sydenham's chorea. What is the most important nursing consideration?
A patient with acute rheumatic fever exhibits Sydenham's chorea. What is the most important nursing consideration?
A patient with acute pericarditis develops muffled heart sounds, jugular venous distension, and hypotension. What potentially life-threatening complication should the nurse suspect?
A patient with acute pericarditis develops muffled heart sounds, jugular venous distension, and hypotension. What potentially life-threatening complication should the nurse suspect?
What is the underlying mechanism explaining the relief of chest pain associated with pericarditis when a patient sits up and leans forward?
What is the underlying mechanism explaining the relief of chest pain associated with pericarditis when a patient sits up and leans forward?
A patient is diagnosed with acute pericarditis secondary to a viral infection. What is the primary goal of nursing care related to pain management?
A patient is diagnosed with acute pericarditis secondary to a viral infection. What is the primary goal of nursing care related to pain management?
A patient with heart failure is being evaluated using echocardiography. Which finding would be most indicative of systolic heart failure (HFrEF)?
A patient with heart failure is being evaluated using echocardiography. Which finding would be most indicative of systolic heart failure (HFrEF)?
A patient with a history of hypertension is diagnosed with heart failure with preserved ejection fraction (HFpEF). Which pathophysiological mechanism is the primary contributor to the development of HFpEF in this patient?
A patient with a history of hypertension is diagnosed with heart failure with preserved ejection fraction (HFpEF). Which pathophysiological mechanism is the primary contributor to the development of HFpEF in this patient?
A patient with heart failure demonstrates Cheyne-Stokes respirations. Which underlying compensatory mechanism is most likely contributing to this breathing pattern?
A patient with heart failure demonstrates Cheyne-Stokes respirations. Which underlying compensatory mechanism is most likely contributing to this breathing pattern?
A patient with a history of heart failure is prescribed spironolactone. What is the most critical electrolyte imbalance the nurse should monitor for, and what signs and symptoms might indicate its presence?
A patient with a history of heart failure is prescribed spironolactone. What is the most critical electrolyte imbalance the nurse should monitor for, and what signs and symptoms might indicate its presence?
A patient with acute pericarditis is being treated with NSAIDs and colchicine. Which statement best explains the rationale for using colchicine in addition to NSAIDs in this patient?
A patient with acute pericarditis is being treated with NSAIDs and colchicine. Which statement best explains the rationale for using colchicine in addition to NSAIDs in this patient?
Flashcards
Heart Failure
Heart Failure
A complex clinical syndrome where the heart cannot provide enough blood to meet the body's needs.
Heart Failure Prevalence
Heart Failure Prevalence
Impacts 6.2 million Americans and that number is expected to rise to 8.5 million by 2030.
Hypertension can cause HF.
Hypertension can cause HF.
Long term aggressive treatment can reduce HF by 50%.
Starling's Law of the Heart
Starling's Law of the Heart
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Systole
Systole
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Diastole
Diastole
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Stroke Volume
Stroke Volume
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Cardiac Output
Cardiac Output
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Preload
Preload
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Afterload
Afterload
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Contractility (Inotropy)
Contractility (Inotropy)
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Ejection Fraction
Ejection Fraction
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Systolic Heart Failure
Systolic Heart Failure
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Diastolic Heart Failure
Diastolic Heart Failure
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Left Ventricular Failure
Left Ventricular Failure
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Acute Decompensated Heart Failure
Acute Decompensated Heart Failure
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Renin-Angiotensin-Aldosterone System
Renin-Angiotensin-Aldosterone System
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Sympathetic Nervous System (SNS)
Sympathetic Nervous System (SNS)
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Hypertrophy
Hypertrophy
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Dilation
Dilation
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Ventricular Remodeling
Ventricular Remodeling
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Natriuretic Peptides
Natriuretic Peptides
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Nitric Oxide & Prostaglandins
Nitric Oxide & Prostaglandins
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Inotropes
Inotropes
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Beta Blockers
Beta Blockers
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Vasodilators
Vasodilators
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Diuretics
Diuretics
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SGLT-2 Inhibitors
SGLT-2 Inhibitors
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ACE Inhibitors
ACE Inhibitors
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ARB's
ARB's
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Neprilysin-angiotensin inhibitors
Neprilysin-angiotensin inhibitors
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ACCF/AHA Stage A
ACCF/AHA Stage A
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ACCF/AHA Stage B
ACCF/AHA Stage B
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ACCF/AHA Stage C
ACCF/AHA Stage C
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ACCF/AHA Stage D
ACCF/AHA Stage D
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NYHA Class I
NYHA Class I
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NYHA Class II
NYHA Class II
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NYHA Class III
NYHA Class III
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NYHA Class IV
NYHA Class IV
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Interprofessional Care
Interprofessional Care
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Worsening S/S of Heart Failure
Worsening S/S of Heart Failure
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Infective Endocarditis.
Infective Endocarditis.
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Layers of the heart
Layers of the heart
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Rheumatic Fever: Criteria
Rheumatic Fever: Criteria
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