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Questions and Answers

Which of the following is a key role of nurses in the care of patients with heart failure?

  • Conducting laboratory tests
  • Providing patient education (correct)
  • Performing surgical procedures
  • Administering medications

What is a common emotional response to the diagnosis of heart failure?

  • Anxiety (correct)
  • Indifference
  • Euphoria
  • Excitement

What are some signs and symptoms of worsening heart failure?

  • Chest pain and fever
  • Headache and dizziness
  • Nausea and vomiting
  • Dyspnea and edema (correct)

What sleep disturbance may be reported by patients with heart failure?

<p>Shortness of breath (A)</p> Signup and view all the answers

What should nurses assess during the health history of a patient with heart failure?

<p>Signs and symptoms of HF (B)</p> Signup and view all the answers

What might restlessness and anxiety in a patient with heart failure suggest?

<p>Hypoxia from pulmonary congestion (C)</p> Signup and view all the answers

What is a potential complication associated with heart failure?

<p>Depression (B)</p> Signup and view all the answers

What aspect of heart failure should nurses assess during the physical examination?

<p>Restlessness and anxiety (C)</p> Signup and view all the answers

What is a key focus of nursing assessment for patients with heart failure?

<p>Observing for effectiveness of therapy (D)</p> Signup and view all the answers

What should nurses assess regarding the patient's ability to manage heart failure?

<p>Understanding of self-care management strategies (C)</p> Signup and view all the answers

Which of the following is an early sign of increased blood volume filling the ventricle with each beat?

<p>S3 heart sound (B)</p> Signup and view all the answers

What is considered abnormal and indicative of right ventricular failure when assessing jugular venous distention (JVD)?

<p>Distention greater than 4 cm above the sternal angle (C)</p> Signup and view all the answers

What is the scale used to rate peripheral pulses based on their volume?

<p>0 (not palpable) to 3+ (bounding) (D)</p> Signup and view all the answers

What can cause the skin to feel cool and appear pale or cyanotic in patients with significant decreases in stroke volume (SV)?

<p>Decreased perfusion to the periphery (D)</p> Signup and view all the answers

How is edema typically rated on a scale?

<p>0 (no edema) to 3+ (severe pitting edema) (B)</p> Signup and view all the answers

What is assessed when applying manual pressure over the right upper quadrant of the abdomen while the patient breathes normally?

<p>Hepatojugular reflux (B)</p> Signup and view all the answers

What is considered positive for increased venous pressure when assessing hepatojugular reflux?

<p>Neck vein distention increases more than 1 cm (B)</p> Signup and view all the answers

What is oliguria?

<p>Decreased urine output (B)</p> Signup and view all the answers

What is the goal of tracking intake and output in patients with heart failure?

<p>To decrease fluid balance (A)</p> Signup and view all the answers

How is diuresis defined in the context of heart failure?

<p>Increased urine output (B)</p> Signup and view all the answers

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