Which assessment finding in a patient admitted with

Which assessment finding in a patient admitted with acute decompensated
heart failure (ADHF) requires the most immediate action by the nurse?
a.
O
2
saturation of 88%
b.
Weight gain of 1 kg (2.2 lb)
c.
Heart rate of 106 beats/min
d.
Urine output of 50 mL over 2 hours
ANS: A
A patient who has heart failure has recently started taking digoxin (Lanoxin)
in addition to furosemide (Lasix) and captopril. Which finding by the home
health nurse is a priority to communicate to the health care provider?
An outpatient who has chronic heart failure returns to the clinic after 2 weeks
of therapy with metoprolol (Toprol XL). Which assessment finding is most
important for the nurse to report to the health care provider?

c.
Report of increased fatigue
d.
Blood pressure (BP) of 88/42 mm Hg
ANS: D
A patient who is receiving dobutamine for the treatment of acute
decompensated heart failure (ADHF) has the following nursing interventions
included in the plan of care. Which action will be most appropriate for the
registered nurse (RN) to delegate to an experienced licensed
practical/vocational nurse (LPN/VN)?
After receiving change-of-shift report on a heart failure unit, which patient
should the nurse assess first ?
a.
Patient who is taking carvedilol (Coreg) and has a heart rate of 58.
b.
Patient who is taking digoxin and has a potassium level of 3.1 mEq/L.
c.
Patient who is taking captopril and has a frequent nonproductive
cough.
d.
Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a
headache.
ANS: B