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35 Cards in this Set

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Clients with chronic respiratory disorders tend to develop ____ as a consequence of cor pulmonale
right-sided heart failure
In cardiogenic pulmonary edema, the ____ becomes incapable of maintaining sufficient output of blood with each contraction
Left ventricle
As cardiac output falls, the client becomes
hypotensive
In stage ____ of chronic heart failure, structural heart changes have developed, but there are no s/s of heart failure
B
A hormone secreted by the adrenal gland that causes retention of sodium and water to increase the BP
Aldosterone
A condition associated with right-sided heart failure, which can be observed in the client's feet and ankles
pitting edema
A client experiences unusual fatigue with strenuous activity which is associated with _____ heart failure
Left sided
Client may have a Hx of gradual unexplained weight gain from fluid retention which is r /t ____ heart failure
right-sided
Client experiences exertional dyspnea which is r/t ____ heart failure
Left sided
Cleilnt experiences anorexia, nausea, and flatulence r/t ____ heart failure
Right sided
Client experiences decreased urine output with ____ heart failure
Left sided
A condition associated with left-sided heart failure, which prompts the client to use several pillows in bed or to sleep in chair or recliner
paroxysmal nocturnal dyspnea
A technique that restores synchrony in the contractions of the right and left ventricles
cardio resynchronization therapy
Reduces venous return to the heart
Diuretic
Relieves anxiety and reduces respiratory rate
Morphine
_____ may mask clinical signs of malnutrition
edema
increases with arterial hypertension, aortic stenosis, pulmonary hypertension, or excessive blood volume from renal failure
Afterload
The kidneys secrete ____ in response to decreased blood flow
renin
Angiotensin causes
vasoconstriction and increases BP
Sensing an increase in fluid pressure within the heart, the ventricles secrete a neurohormone known as
β-type natriuretic peptide (BNP
http://wps.prenhall.com/chet_lemone_medicalsurg
_3/11/2956/756820.
cw/index.html
test bank
The patient is taking Digoxin and Lasix what should be monitored in this patient
potassium level
The nurse ausculates crackles,BP156/70,HR122,R32 the pt. is given Digoxin and Lasix what is the therapeutic repsonse
Decrease HR and R
clear lungs
The pt. has labored respirations,tachypnea,crackles what medication would be given MS or Lasix
Morphine
Which of the following assessment findings by the nurse indicates left-sided heart failure?
Shortness of breath, tachycardia, and orthopnea
A nurse, assessing a client's heart sounds, notes a murmur at the right sternal border, 2nd intercostal space. The nurse recognizes this finding indicates which of the following
Aortic stenosis
A client with left ventricular hypertrophy asks the nurse to explain the purpose of the left ventricle. The nurse informs the client that which of the following is the purpose of the left ventricle
Receives freshly oxygenated blood from the left atrium and pumps it out the aorta to the arterial circulation
the normal "pacemaker" of the heart is
sinoatrial (SA) node
A nurse, assessing a client's cardiovascular status, simultaneously palpates the radial pulse while listening to the apical pulse. The nurse notes the radial pulse falls behind the apical pulse and recognizes this as an indication of
Weak, ineffective contractions of the left ventricle
A nursing student is learning cardiac assessment. The student correctly identifies the first heart sound as which of the following
Closure of the atrioventricular valves
related to ineffective ventricular contraction, tachycardia, reduced stroke volume, hypertension, and increased vascular volume
decreased cardiac output
Diuretics decrease _____ by reducing circulating fluid volume
afterload
Risk for Impaired Gas Exchange related to _____secondary to ____ dysfunction
pulmonary congestion
left ventricular
a frequent complication of left-sided heart failure
pulmonary edema
Clients with mild heart failure can tolerated up ___ mg of sodium
3000