10 Heart (Cardiac) Failure Therapeutic Management NCLEX Style Questions

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Question 1 of 10

A client has been admitted to the cardiac unit with exacerbation of heart failure symptoms. The nurse has given him a nursing diagnosis of decreased cardiac output related to heart failure, as evidenced by a poor ejection fraction, weakness, edema, and decreased urinary output. Which of the following nursing interventions is the most appropriate in this situation?


Question 2 of 10

A client with heart failure is being treated for exacerbation of symptoms. The physician has ordered a dose of milrinone to be given IV. Which best describes a property of this type of medication?


Question 3 of 10

A client is admitted with congestive heart failure (CHF) exacerbation. The nurse notes that the client takes metformin and furosemide at home. Which of the following findings indicate the presence of a side effect associated with concurrent use of these two medications?


Question 4 of 10

The client admitted with COPD and history of congestive heart failure (CHF) complains of shortness of breath. Crackles are heard in the lungs. Blood pressure is154/74, HR 67, Respirations 24, Temperature 99.1F, Pulse oximeter 86% on room air. Which of the following orders is NOT a priority at this time?


Question 5 of 10

A client with heart failure has a new prescription for furosemide. Which information would the nurse include as part of teaching this client about this medication? Select all that apply.


Question 6 of 10

A client with a history of congestive heart failure (CHF) is reviewing home medications with the nurse. The client states, “I take so many medications I don’t know which one I take for my CHF.” The nurse knows that which of the following medication is used to treat CHF?


Question 7 of 10

The nurse is caring for a client who is in heart failure and is taking digitalis. The nurse understands that this medication has which of the following effects on the heart?


Question 8 of 10

A client in heart failure is receiving care at the hospital. The client normally takes furosemide to help with fluid management, but most likely will need more medicine to control other symptoms. To avoid complications, the nurse should look out for which medication is contraindicated in clients with heart failure?


Question 9 of 10

A client with heart failure is being sent home from the hospital with a new prescription for a diuretic. The nurse is educating the client about medication use at home. The nurse should include instructions to call the healthcare provider if the client develops which of the following conditions?


Question 10 of 10

A client with acute decompensated heart failure has been prescribed intravenous diuretic medications to control fluid and congestion. Which nursing intervention would the nurse need to perform in order to best monitor fluid and electrolyte balance in this client?