Chron 1 cardiac alt

Patient X is diagnosed with hypertension because their average blood pressure reading for the last 2 visits was....

• 129/79

• 125/75

• 120/95

• 129/70

which diagnosis is a progressive cardiac disease

• hypertension

• hypercholesterolemia

• heart failure

• coronary artery disease

What actions/assessments does the nurse perform to assess disease risk for coronary heart disease (select all that apply)

• assess tabacco use

• assess physical activity level

• assess chocolate intake

• measure abdominal girth

What item does the nurse include in the teaching plan for a patient with newly diagnosed hypercholesterolemia?

• education on beta blockers

• education on achieving the goal of running 5 miles every two days

• education on lowering stress levels

• education on heart healthy diet (DASH diet)

The nurse meets a patient with heart failure in the clinic. The nurse notices that the patient has plus 3 pitting edema in the legs, has been unable to sleep laying down, and has shortness of breath during the assessment. What does the nurse anticipate will be the next step?

• primary care provider will order 2 extra doses of furosemide and send patient home

• primary care provider will transfer patient to acute care hospital

• primary care provider will send patient home as this is to be expected

• nurse will assess whether or not patient has been taking their diuretic medication

The nurse is reviewing lab results for a heart failure patient in their clinic. Which of the following findings will point the nurse to suspect declining kidney function?

• Sodium 135mEq/L

• Hemoglobin 14g/dl

• creatinine level of 2, BUN of 40

• GFR of 100ml/min

What is an essential monitoring skill that a heart failure patient needs to perform daily?

• daily blood pressure

• daily fasting weight

• daily fasting glucose

• daily sodium intake calculation

The nurse encounters a patient in the clinic setting who complains of chest pain. The nurse knows that there are different causes of chest pain. The nurse assesses

• chest pain onset, relief measures, current status of chest pain

• lung sounds and history of pneumonia

• for history of aneurisms

• last meal eaten and determines it is GERD

You are caring for a patient with right-sided heart failure. Which assessment findings indicate that the right-sided heart failure is decompensated? Select all that apply.

• crackles on lung auscultation

• +3 edema in all extremities

• activity intolerance

• dyspnea

Answer explanation

the right side of the heart pumps the blood out of the body into the lung; congestion happens in the body i.e. edema in extremities; activity intolerance is related to swollen oxygen-poor extremities

You are caring for a patient with decompensated left-sided heart failure. Which nursing diagnosis is the priority?

• deficient knowledge

• powerlessness

• fatigue

• impaired gas exchange

Answer explanation

When you prioritize follow the ABCs (airway, breathing, cardiac), acute is prioritized over risk for.