Chapter Nursing Care Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to chapter nursing care and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves chapter nursing care. A strong answer should include explanation, application, and examples.

Original Question

Chapter 31 Nursing Care of Patients with Cardiac Disorders 1. The nurse is assessing a patient with chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate? a expiratory wheezes b. friction rub c. harsh vesicular d. crackles 2. When caring for a chronic heart failure patient with left-sided failure, the nurse would most likely note the following statement in the physician’s written report following cardiac catheterization? a “Pressures in the left ventricle and atrium are increased.” b. “Pressures in the left ventricle and atrium are decreased.” c. “Pressures in the right ventricle and atrium match the ventricle pressures.” d. “Pressures in the right ventricle reflect functioning of all heart chambers.” 3. A nurse caring for a patient with heart failure would expect to find which of the following during assessment of the patient? a S1, S2 and flat neck veins b. S3 and distended neck veins c. S2 is heard the loudest and followed by S1 d. S4 and flat neck veins 4. When obtaining the health history of a patient who is being assessed for possible congestive heart failure, it is significant when the patient says which of the following? a ‘I break out in a coki sweat when I eat a large meal.” b. 1 am sleepy after I eat lunch each day.” c. “I have to prop myself up on three pillows to sleep at night, otherwise I can’t breathe.” d. “I feel better with my legs down when I sit in my favorite chair.” 5. A patient is admitted with acute heart failure. The nurse realizes that acute heart failure is associated with an abrupt onset of which of the following? Select all that apply. a cardiomyopathy b. heart valve disease c. coronary heart disease (CHD) d. massive infarction (MI)) e. myocardial injury 6. Blood tests are ordered for a patient who is diagnosed with possible congestive heart failure (CHF). The nurse understands which of the following lab tests indicates heart failure? The most specific tests) to accurately indicate CHF would be which of the following? a liver function b. urinalysis and blood urea nitrogen (BUN) c. brain natriuretic peptide (BNF). d. serum electrolytes 7. The nurse is caring for a patient who has invasive hemodynamic monitoring. The highest priority of care for this patient is which of the following? a Prevent infection at the catheter site by changing the dressing as prescribed. b. Set alarm limits and tum monitor alarms on. c. Explain to family members why the monitoring is in use. d. Coil IV tubing on the bed. Unlock document

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