Nursing Interventions
Right or Left
Heart Failure
Misc.
100

This documentation is essential to evaluate the patient's fluid status. 

What is strict I/O's? 

100

3+ pitting lower extremity edema and distended abdomen. 

What is right sided HF? 

100

This medication class is widely used for symptomatic relief, but has no mortality benefit in heart failure patients. 

What are diuretics? 

200

Performed at the same time every morning using the same equipment and similar clothing/bedding, this is the most sensitive indicator of a patient’s current fluid status.

What are daily weights? 

200
Patient reports fatigue despite sleep and a loss of appetite. 

What is right sided HF?

200

This heart failure classification system uses functional ability to differentiate severity of heart failure. 

What is the New York Heart Association classification? 

300

This dietary intervention is meant to reduce fluid retention and decrease cardiac workload.

What is sodium restriction or low sodium diet?

300

The nurse notes crackles bilaterally on auscultation. 

What is left sided HF? 

300

This cause of heart failure could be treated with revascularization such as PCI or CABG. 

What is ischemia? 

400

When admitting a HF patient on inotropes, the nurse must notify at least these 2 people. 

What is the CNS/CPL and pharmacist? 

400

During ambulation, the nurse notes the patient is dyspneic and coughing up blood tinged sputum.

What is left sided HF? 

400

This idea refers to the force against which the heart has to pump. 

What is afterload?

500

This proactive nursing action helps prevent hypotension or bradycardia when giving cardiac medications without defined thresholds.

What is contacting the provider for hold parameters? 

500
The nurse observes a 3lb weight gain since admission and distended jugular veins. 

What is right sided HF? 

500

This idea refers to the amount of blood in the ventricles at the end of diastole. 

What is preload? 

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