A 53-year-old patient with Stage D heart failure and type 2 diabetes asks the nurse whether heart transplant is a possible therapy. Which response by the nurse is most appropriate?
a. Because you have diabetes, you would not be a candidate for a heart transplant.
b. The choice of a patient for a heart transplant depends on many different factors.
c. Your heart failure has not reached the stage in which heart transplants are needed.
d. People who have heart transplants are at risk for multiple complications after surgery.
Question 2Following an acute myocardial infarction, a previously healthy 63-year-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about
a. digitalis preparations.
b. -adrenergic blockers.
c. calcium channel blockers.
d. angiotensin-converting enzyme (ACE) inhibitors.
Question 3While admitting an 82-year-old with acute decompensated heart failure to the hospital, the nurse learns that the patient lives alone and sometimes confuses the water pill with the heart pill.
When planning for the patient's discharge the nurse will facilitate a
a. consult with a psychologist.
b. transfer to a long-term care facility.
c. referral to a home health care agency.
d. arrangements for around-the-clock care.
Question 4The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide (HydroDIURIL). Appropriate instructions for the patient include
a. limit dietary sources of potassium.
b. take the hydrochlorothiazide before bedtime.
c. notify the health care provider if nausea develops.
d. skip the digoxin if the pulse is below 60 beats/minute.
Question 5When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet, the nurse explains that foods to be restricted include
a. canned and frozen fruits.
b. fresh or frozen vegetables.
c. eggs and other high-protein foods.
d. milk, yogurt, and other milk products.
Question 6The nurse working on the heart failure unit knows that teaching an older female patient with newly diagnosed heart failure is effective when the patient states that
a. she will take furosemide (Lasix) every day at bedtime.
b. the nitroglycerin patch is applied when any chest pain develops.
c. she will call the clinic if her weight goes from 124 to 128 pounds in a week.
d. an additional pillow can help her sleep if she is feeling short of breath at night.
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