An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

notifying the provider if a 2-lb weight gain occurs in 24 hours.

taking nitroglycerin if chest pain occurs.

assessment of an apical pulse.

compliance with diuretic therapy.

Answer and Explanation

The Correct Answer is A

A. Sudden weight gain can indicate fluid retention, a common early sign of heart failure exacerbation. Prompt reporting allows for early intervention.

B. Nitroglycerin is used to treat chest pain, not specifically to prevent heart failure exacerbations.

C. Assessment of the apical pulse is important, but monitoring weight is more directly related to managing heart failure.

D. Compliance with diuretic therapy is important, but recognizing early signs of fluid retention, such as rapid weight gain, is crucial for preventing exacerbations.

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Correct Answer is B

Explanation

A. Epinephrine is an important drug in resuscitation but is administered after defibrillation in the algorithm.

B. Defibrillation is the priority intervention for ventricular fibrillation, as it is the only treatment that can convert the heart rhythm back to a viable one.

C. Airway management is crucial, but in the context of ventricular fibrillation, defibrillation takes precedence to restore a life-sustaining rhythm.

D. Amiodarone is used in the treatment of refractory ventricular fibrillation, but it is not the immediate priority over defibrillation.

A. Document all waveform values. B. Limit the pressure tubing length. C. Zero reference the system daily. D. Ensure alarm limits are turned on

Correct Answer is D

Explanation

A. Documentation of waveform values is important but does not directly enhance patient safety during monitoring.

B. Limiting the pressure tubing length can help maintain accuracy, but it is not the primary safety measure.

C. Zero referencing is crucial for accurate readings, but it must be done in conjunction with ensuring alarms are active.

D. Ensuring that alarm limits are turned on and appropriately set is the best safety measure to immediately alert the nurse to any critical changes in the patient's status.

View Question and Answer

A nurse is caring for a client who has heart failure.

<div id="exhibits">Exhibits</div>

For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

View Question and Answer

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An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

Correct Answer is B

Explanation

The nurse is caring for a patient with a left radial arterial line and a pulmonary artery catheter inserted into the right subclavian vein. Which action by the nurse best ensures the safety of the patient being monitored with invasive hemodynamic monitoring lines?

Correct Answer is D

Explanation

A nurse is caring for a client who has heart failure. <div id="exhibits">Exhibits</div> For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

The patient is admitted with a suspected acute myocardial infarction (AMI). In assessing the 12-lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the patient is in the process of a myocardial infarction (MI)?

An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

Which of the following describes a situation in which the blood pressure is severely elevated and there is evidence of actual target organ damage?

When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?