A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?

Hypertensive crisis

Cardiogenic shock

Embolic cerebral vascular accident

Flash pulmonary edema

Answer and Explanation

The Correct Answer is C

A. Hypertensive crisis is not a direct complication of atrial fibrillation. It is typically caused by uncontrolled hypertension rather than arrhythmias.
B. Cardiogenic shock can occur in severe heart failure but is not a primary complication of atrial fibrillation.
C. Embolic cerebral vascular accident (stroke) is a major risk for clients with atrial fibrillation. The irregular atrial contractions allow blood to pool in the atria, increasing the risk of clot formation. If a clot dislodges, it can travel to the brain and cause a stroke.
D. Flash pulmonary edema is a complication of acute decompensated heart failure but is not directly caused by atrial fibrillation.

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Correct Answer is A

Explanation

A. Digoxin is a positive inotropic agent, meaning it increases the force of cardiac contractions. This helps improve cardiac output in patients with heart failure.
B. Digoxin does not decrease the force of contractions; instead, it strengthens them, making it beneficial for heart failure treatment.
C. Digoxin is commonly used in heart failure management, particularly in cases of systolic dysfunction or atrial fibrillation.
D. Digoxin decreases heart rate by slowing conduction through the atrioventricular (AV) node, making it useful in atrial fibrillation, but its primary benefit in heart failure is increasing contractility.

A. Increased appetite B. Distended neck veins C. Worsening lower extremity edema D. Feeling fatigued E. Unable to lie flat F. Weight gain >2 lb in 24 hours

Correct Answer is ["B","C","D","E","F"]

Explanation

A. Increased appetite is not a symptom of worsening right-sided heart failure; clients may actually experience nausea or anorexia due to fluid congestion in the gastrointestinal system.
B. Distended neck veins (jugular venous distension) indicate increased venous pressure and systemic congestion, which are signs of worsening right-sided heart failure.
C. Worsening lower extremity edema occurs due to fluid retention and poor venous return, which are hallmark signs of right-sided heart failure.
D. Feeling fatigued is common as the heart struggles to pump blood effectively, leading to decreased oxygen delivery to tissues.
E. Unable to lie flat (orthopnea) is typically associated with left-sided heart failure but can also occur in right-sided failure due to fluid overload and pulmonary congestion.
F. Weight gain >2 lb in 24 hours suggests significant fluid retention and worsening heart failure, requiring prompt medical attention.

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A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

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A nurse is caring for a heart failure client with a history of dietary noncompliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

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