Med Surg Proctored Exam Practice Questions - Set 22

A 72-year-old patient with a history of systolic heart failure is admitted with worsening dyspnea, orthopnea, and peripheral edema. The following orders are written. Which action should the nurse take first?

A nurse working in the heart failure clinic is preparing to teach a 74-year-old client with newly diagnosed heart failure. Which of the following client statements indicates that education has been effective?

A client is receiving captopril for heart failure. During the nurse's assessment, what indicates that the medication therapy is ineffective?

The nurse is assessing and evaluating a client admitted with heart failure 24 hours ago. The nurse notes that the client has lost 2.5 pounds since admission, his heart rate has decreased from 105 beats per minute to 88 beats per minute, and now the crackles are fine and have decreased to the lower bases of the lung fields. Which of the following statements indicates the nurse has correctly interpreted these findings?

The RN is providing education on exercise programs for clients with heart failure. Which of the following statements by the client requires additional teaching?

A nurse provides discharge instructions to a client with a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Scenario:

Mr. James, a 68-year-old man with a history of chronic heart failure (reduced ejection fraction), presents to the ED with increasing shortness of breath, fatigue, and a 4 kg weight gain over the past 3 days. He is alert but appears anxious and is using accessory muscles to breathe. Vital signs are:

BP: 150/90 mmHg

HR: 112 bpm, irregular

RR: 28/min

SpO2 89% on room air

Bibasilar crackles are noted on auscultation.

An IV line is in place, and telemetry shows atrial fibrillation.

Which of the following interventions should be prioritized to address the most immediate concern?

The nurse is performing a physical assessment and obtaining a health history of a client admitted with acute heart failure. Which is an expected assessment finding associated with the client's diagnosis?

A nurse is caring for a patient with heart failure. Which of the following nursing interventions is most appropriate to monitor fluid status in this patient?

A client with a history of hypertension and heart failure arrives for a scheduled clinic appointment and tells the nurse, "My feet are killing me. These shoes got so tight. The nurse's best initial action is to

A nurse reviews hypertension with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

A client has come to the clinic for a follow-up assessment that will include a BP reading. To ensure an accurate reading, the nurse confirms that the client has performed which action?