The nurse is caring for an older patient. The nurse recognizes that which factors place older adults at higher risk for development of heart failure?
Select all that apply.
1. impaired diastolic filling
2. increased cardiac reserve
3. increased maximal heart rate
4. reduced ventricular compliance
5. high responsiveness to sympathetic nervous system stimulation
Question 2The nurse suspects that a patient has pericarditis. What did the nurse assess to make this clinical decision?
Select all that apply.
1. pericardial friction rub
2. abdominal discomfort and nausea
3. chest pain
4. bradycardia
5. distended neck veins
Question 3The nurse suspects that a patient is experiencing paroxysmal nocturnal dyspnea (PND). What did the nurse assess to make this clinical decision?
Select all that apply.
1. symptoms occurring at night
2. pulmonary congestion
3. improving cardiac reserve
4. voiding more than one time per night
5. daytime peripheral edema
Question 4The nurse is caring for a patient with possible endocarditis. What is important for the nurse to consider when caring for this patient?
1. Endocarditis does not pose a high risk of damage to affected heart valves.
2. Patients with this disorder can be treated with open heart surgery to clean the heart valves.
3. The condition is unrelated to fever, so patients can be medicated with the prescribed antipyretic and observed.
4. Endocarditis can be prevented in patients at risk by administering antibiotics prior to procedures.
Question 5The nurse caring for a patient with coronary artery disease hears a murmur during auscultation of the heart. What should the nurse suspect is occurring in this patient?
1. valvular heart disease
2. pericarditis
3. cardiac tamponade
4. heart failure
Question 6A patient is diagnosed with cardiac tamponade. What treatment should the nurse expect to be prescribed for this patient?
1. antidysrhythmic drugs and oxygen
2. oxygen and rest
3. pericardiocentesis
4. antibiotics
Question 7The nurse should recognize which finding as a sign of decreased cardiac output and tissue perfusion in a patient with heart failure?
1. reduced mental alertness
2. increased urine output
3. abdominal distention
4. strong peripheral pulses
Quick Reply
