symptoms, R v L HF, HFrEF or HFpEF
Pathophysiology
medication
lifestyle modifications
RN's role
100
jugular vein distension
What is a symptom of right sided HFrEF?
100
HTN
What is a leading contributor of HF in the industrialized world that increases the heart's workload by increasing systemic vascular resistance?
100
A classification of medications prescribed for HTN, HF, and s/p AMI.
What are ACEI?
100
The BEST method of assessing fluid status of patients with heart failure.
What is daily weight.
100
The RN asks the patient how they are feeling, obtains vital signs and sPO2, observes skin color, listens to the patient's chest and abdomen, and palpates peripheral pulses. The RN is performing which part of the nursing process?
What is assessment?
200
cyanosis
What is left sided HFrEF
200
Aortic Stenosis
What is a stiffening or narrowing of the aortic valve?
200
Cardevilol and metoprolol succinate
What 2 beta blocks that are prescribed for patients with HF because they block the SNS effects of decreased cardiac output, decrease myocardial oxygen demand, and reduce the risk for sudden cardiac death?
200
aerobic exercise
What lifestyle modification that is beneficial for patients with heart failure because it increases coronary collateral circulation, improves cellular metabolism, reduces SNS, reduces BP, and helps maintain an ideal body weight.
200
The RN assess a patient has symptoms of cyanosis, secondary to AMI. What RN diagnoses are appropriate for this patient?
What are decreased cardiac output, risk for sudden death, anxiety?
300
paroxysmal nocturnal dyspnea
What is left sided, HFrEF?
300
remodeling
What is detrimental histologic changes of the myocardial myocyte in response to HTN, CKD, valvular stenosis, AMI, or inflammation? Administration of ACEIs reduce the incidence of this process.
300
Sacubitril/valsartan (Entresto)
What is the name of the neprilysin inhibitor/ARB combination medication that is prescribed for patient's with heart failure because this medication prevents the breakdown of ANP and BNP which are naturally synthesized "diuretics" and reduces BP?
300
A personal habit that is detrimental for anyone, but particularly to patients with heart failure, because it increases heart rate, BP, dysrhythmias, and reduces coronary artery blood flow.
What is tobacco use?
300
The RN has assessed all 6 of her patients. Using her assessment findings and the patient's PMH, cc, and shift report the nurse prioritizes which patient to see first, second, etc. This prioritization is which part of the nursing process?
What is planning?
400
3 lb weight gain in one day after eating Easter ham dinner.
What is R and/or L HF with or reduced EF
400
Compensation
What is the name of the process where they body attempts to achieve homeostasis during acute reduced cardiac output?
400
hypokalemia and hypomagnesemia
What are common ADR of loop diuretics?
400
Patients with heart failure should limit their consumption of this element in their meals.
What is sodium?
400
The provider orders 40 mg of furosemide IV stat for acute onset of SOB, rales throughout the chest, and pink frothy sputum. What additional nursing assessment is needed prior to administration of the furosemide?
What is assessment of the blood pressure?
500
sudden cardiac death
What is the leading cause of death for patients with HF?
500
Heart rate, stroke volume, health of heart valves, health of myocardium.
What factors influence cardiac output.
500
cough
What is a common ADR of ACEI?
500
Mr. S who has heart failure takes his medications as prescribed.
What is medication compliance (adherence)?
500
A patient with newly diagnosed heart failure is preparing for discharge. The RN utilizes what part of the nursing process to determine if the patient can be safely discharged? What comment by the patient suggest, this patient should not be discharged at this time? "I can never eat in a restaurant again." "I'll take my Lasix if I feel SOB." "My daughter will be here next week and she will take my to the pharmacy to get the medications the provider prescribed."
What is evaluation? "My daughter will be here next week and she will take my to the pharmacy to get the medications the provider prescribed."
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