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Ati video case study heart failure test

Patton was admitted due to myocardial infarction. Two hours after the admission, his skin became cool and clammy. Latest BP shows a decrease in the systolic blood pressure. His heart rate and respirations are gradually increasing, and his urine output is decreasing.

Patton is experiencing cardiogenic shock due to myocardial infarction. Cardiogenic shock can result from any condition that causes significant left ventricular dysfunction with reduced cardiac output. Cardiogenic shock produces symptoms of poor tissue perfusion. The nurse should assess the following:. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer.

No time limit for this exam. A person comes into your ER room with a very weak pulse after a suffering a heart attack. You suspect:. The weak pulse has nothing to do with shock or the heart attack, so send him home.

A late stage decompensated shock, the least life-threatening stage of shock. A very early stage compensated shock, the most life-threatening stage of shock. A late stage decompensated shock, the most life-threatening stage of shock. Answer: D. Which of the following would make the most sense as a more specific diagnostic test of shock?

A CSF spinal tap to check for meningitis. A brainstem auditory evoked response test to see if the person can hear ok. A pupillary light reflex test to check how well the eyes are working. The measurement of serum lactate, elevated levels of which are an indicator of shock.

The worsening of tissue hypoperfusion and the onset of worsening circulatory and metabolic imbalances, including acidosis. The body tries to initiate compensatory mechanisms.

Nothing can correct the hemodynamic defect. Tissue and cell damage are too great tissue and necrosis of the tissue will occur even if the underlying hemodynamic defect is corrected.

Excessive vasodilation and possibly increased capillary permeability.

ati video case study heart failure test

Severe central nervous system trauma that causes a rapid loss in sympathetic stimulation. Reduction in intravascular fluid volume. Myocardial dysfunction.

Which characteristic often distinguishes cardiogenic shock from hypovolemic shock? Narrow pulse pressure. I have a comment about the quiz at the end. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers.

Sign in. Log into your account. Password recovery. Care Plans. Notes Medical-Surgical Nursing.This chapter provides you with an example of the nursing care that a patient with heart failure may require. The heart failure care plan Fig. The case history for Martha will then guide you through the assessment, nursing action and evaluation of a patient with heart failure.

A definition of heart failure was given in Chapter 1 and asked you to revise your anatomy and physiology see Montague et al Before reading the case study, find out the following:.

What are some of the symptoms of heart failure? What health education could you provide for a patient with heart failure? You can find out the answers to these questions by following the link below.

The British Heart Foundation provides free booklets to download:. On admission, her pulse is beats per minute bpm and irregular. Martha is put on high-flow oxygen, a continuous cardiac monitor, hourly observation of vital signs and an intravenous cannula is inserted. Martha is married with three grown-up children and smokes 20 cigarettes a day. Martha is then transferred to a medical ward with a cardiac specialty.

She has peripheral oedema and is fluid overloaded. Furosemide is being administered intravenously. She is on stage 2 see Fig. Martha is very distressed but knows where she is and why. She is unable to eat or drink at the moment due to her breathlessness. She is a life-long smoker. She lives with her husband in a third-floor flat with a lift. She still works part time as a cleaner for a local company. See Appendix 4 in Holland et al for possible questions to consider during the assessment stage of care planning.

Many organisations will have a care plan pathway, and Figure Ripoll unpublished. This is to ensure that the care of the patient is explicit and standardised. This does not mean that the care becomes less individualised. Based on your assessment of Martha, the following problems should form the basis of your care plan:. Problem: Martha is cardiovascularly unstable due to her condition. Goal: To monitor fluid balance accurately and to prevent infection.

Problem: Martha is unable to eat or drink adequately due to her condition. Problem: Martha is a life-long smoker and cannot smoke in hospital.To login with Google, please enable popups.

Sign up. To signup with Google, please enable popups. Sign up with Google or Facebook. To sign up you must be 13 or older. Terms of Use and Privacy Policy. Already have an account? Log in. Get started today! Edit a Copy. Study these flashcards. Diane N. A patient is taking bumetanide Bumex and spironolactone Aldactone. You should explain that using the drugs together may reduce the risk of which of the following adverse effects?

A Hypokalemia. A patient is about to begin taking hydrochlorothiazide Microzide for hypertension. To assess for adverse effects of the drug, you should monitor for which of the following? Select all that apply. B Hyponatremia. You are reviewing the history of a patient who is about to begin doxazosin Cardura therapy to treat hypertension. Which of the following drugs the patient takes require further action?

Cardiogenic Shock

D Sildenafil Viagra. While talking with a patient who is taking captopril Capoten to treat hypertension, which of the following instructions should you include to help her manage the drug's adverse effects? C Do not use salt substitutes to season your food. A patient taking losartan Cozaar for hypertension asks about stopping contraception and starting a family. You should inform the patient that losartan is unsafe to take during pregnancy due to which of the following risks?

B Fetal injury. A patient is about to begin taking aliskiren Tekturna to treat hypertension. Which of the following should you tell the patient to avoid to ensure optimal absorption of this drug?

C Fatty foods.This chapter provides you with an example of the nursing care that a patient with heart failure may require.

Case Presentation: Heart Disease and Intervention (ALPANA SENAPATI, DO)

The heart failure care plan Fig. The case history for Martha will then guide you through the assessment, nursing action and evaluation of a patient with heart failure.

A definition of heart failure was given in Chapter 1 and asked you to revise your anatomy and physiology see Montague et al Before reading the case study, find out the following:. What are some of the symptoms of heart failure? What health education could you provide for a patient with heart failure? You can find out the answers to these questions by following the link below. The British Heart Foundation provides free booklets to download:. On admission, her pulse is beats per minute bpm and irregular.

Martha is put on high-flow oxygen, a continuous cardiac monitor, hourly observation of vital signs and an intravenous cannula is inserted. Martha is married with three grown-up children and smokes 20 cigarettes a day. Martha is then transferred to a medical ward with a cardiac specialty. She has peripheral oedema and is fluid overloaded. Furosemide is being administered intravenously. She is on stage 2 see Fig. Martha is very distressed but knows where she is and why.

She is unable to eat or drink at the moment due to her breathlessness. She is a life-long smoker. She lives with her husband in a third-floor flat with a lift. She still works part time as a cleaner for a local company.In the previous NCLEX review seriesI explained about other cardiovascular disorders so be sure to check those reviews out.

There are different types of heart failure, such as left or right-sided heart failure. As the nurse, it is important to understand how patients will present differently with each type of heart failure.

In addition, the nurse needs to be aware of the causes, risk factors, and management of heart failure. The NCLEX exam loves to ask questions about patient education, common side effects of medications, and major signs and symptoms the patient can exhibit with heart failure. Which of the following patients are MOST at risk for developing heart failure? A 69 year old male with a history of alcohol abuse and is recovering from a myocardial infarction. A 55 year old female with a health history of asthma and hypoparathyroidism.

A 30 year old male with a history of endocarditis and has severe mitral stenosis. A 45 year old female with lung cancer stage 2.

ati video case study heart failure test

A 58 year old female with uncontrolled hypertension and is being treated for influenza. A patient is being discharged home after hospitalization of left ventricular systolic dysfunction.

As the nurse providing discharge teaching to the patient, which statement is NOT a correct statement about this condition? Which of the following are NOT typical signs and symptoms of right-sided heart failure?

Jugular venous distention B. Persistent cough C.

ati video case study heart failure test

Weight gain D. Crackles E.

Heart Failure NCLEX Questions

Nocturia F. Orthopnea 4. A patient is diagnosed with left-sided systolic dysfunction heart failure. Which of the following are expected findings with this condition? Patient has frequent episodes of nocturnal paroxysmal dyspnea. Options A and C are both expected findings with left-sided systolic dysfunction heart failure.

True or False: Patients with left-sided diastolic dysfunction heart failure usually have a normal ejection fraction. A patient has a history of heart failure.

Which of the following statements by the patient indicates the patient may be experiencing heart failure exacerbation? Options B and C are correct. Options A and B are correct. Options A, B, and C are all correct.

Patients with heart failure can experience episodes of exacerbation. All of the patients below have a history of heart failure. Which of the following patients are at MOST risk for heart failure exacerbation?

A 55 year old female who limits sodium and fluid intake regularly. A 73 year old male who reports not taking Amiodarone for one month and is experiencing atrial fibrillation. A 67 year old female who is being discharged home from heart valve replacement surgery. A 78 year old male who has a health history of eczema and cystic fibrosis.Pay attention and take good notes. There are two ways of attaining an important end, force and perseverance; the silent power of the latter grows irresistible with time.

You are given 1 minute per question. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. No time limit for this exam. You can also copy this exam and make a printout. Which of the following arteries primarily feeds the anterior wall of the heart? Circumflex artery B. Internal mammary artery C. Left anterior descending artery D.

Right coronary artery. When do coronary arteries primarily receive blood flow? During inspiration B. During diastole C. During expiration D. During systole. Cancer B. Coronary artery disease C. Liver failure D.

Renal failure. Atherosclerosis impedes coronary blood flow by which of the following mechanisms? Plaques obstruct the vein B. Plaques obstruct the artery C. Blood clots form outside the vessel wall D.To login with Google, please enable popups. Sign up. To signup with Google, please enable popups. Sign up with Google or Facebook.

To sign up you must be 13 or older. Terms of Use and Privacy Policy. Already have an account? Log in. Get started today! Fluid And Electrolytes Case Study. Edit a Copy. Study these flashcards. Casey A. Patient presents with headache and decreased level of consciousness. Lab results reveal sodium ofpotassium of 3. What is going on with this patient? What are interventions for this patient?

Going on: Hyponatremia Na too much water, not enough salt. Interventions: Limit free water intake fluid restriction0. Patient presents with restlessness and extreme thirst. Lab results show sodium ofpotassium of 3. Going on: Hypernatremia Na too much salt, not enough water. Interventions: Restrict salt in diet, encourage free water intake and fluids unless contraindicated.

Patient with an NG tube is complaining of muscle weakness and leg cramps. Pt has PVCs noted on the cardiac monitor. Lab results show sodium ofpotassium of 2. Going on: Hypokalemia K. Patient has a history of renal failure with weakness and abdominal cramps. Labs reveal sodium ofpotassium 6. Going on: Hyperkalemia K. A patient with long-standing alcohol abuse presents to the ER requesting detox assistance.

Upon further assessment after receiving these lab results it is noted that this patient has a positive Chovstek's sign, muscle twitching, and some numbness and tingling in the extremities.

Going on: Hypocalcemia Ca. Patient with a history of cancer on chemo presents with lethargy, confusion, diminished reflexes and constipation. Going on: Hypercalcemia Ca. Patient with history of alcoholism presents with hyperactive reflexes, muscle cramps, and tetany.


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