A 78-year-old client is admitted with the diagnosis of left-sided congestive heart failure. When assessing the client, what signs and symptoms should the nurse expect to find?
1. Peripheral dependent edema and bradycardia
2. Signs of fluid volume deficit, hypokalemia, and hypernatremia
3. Enlarged liver, venous congestion, and distended neck veins
4. Dyspnea, orthopnea, and cough
Question 2A client with mitral stenosis asks the nurse to explain the complications of the disease and what symptoms the client and family need to be aware of. The nurse should teach the family to watch for:
1. Dry skin.
2. Signs of confusion.
3. Low hemoglobin.
4. Memory improvement.
Question 3A client is in the hospital for heart failure and respiratory management. During a focused assessment, the nurse notes that the client coughs frothy pink sputum. The immediate intervention by the nurse would be to:
1. Place the client in a high Fowler's position.
2. Ask the laboratory to obtain an arterial blood gas.
3. Notify the physician.
4. Stop the administration of oxygen.
Question 4The nurse is performing a focused assessment on a client who was admitted with heart failure. What should the nurse expect to review for this client on a daily basis?
1. CBC
2. MRI
3. Cardiac catheterization
4. Serum electrolytes
Question 5A client recovering from pericarditis is prescribed NSAIDs for inflammation. The nurse should instruct the client to:
1. Weigh weekly.
2. Restrict fluids.
3. Take two baby aspirin a day.
4. Take the medication on an empty stomach.
Question 6The client who had a heart transplant is ready for discharge from the hospital. The nurse instructs the client about self-care at home and determines that learning has occurred when the client states:
1. I should begin jogging in a few days.
2. I need to protect myself against infection.
3. I can take my medication only when needed.
4. I am cured, and will have no more heart problems.
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