32.A patient is admitted with acute decompensated heart failure. Which part of the treatment plan will increase fatigue in this patient?1.A 2-g sodium diet [will reduce sodium load to the heart and reduce fatigue]2.Cardiac monitoring [ will monitor for electrolyte imbal d/t furosemide admin & wont affect fatigue ]3.Oxygen at 2 L by nasal cannula [will improve tolerance of activity]4.Intravenous (IV) furosemide 40 mg every six hours [will cause diuresis and frequent trips to the bedside commode or bathroom, leading to fatigue]33.The nurse is caring for a patient who has heart failure with 4+ edema in the lower legs and the sacral area. Which measures are important to include in the plan of care? Select all that apply.
34.A patient with heart failure is admitted for adjustments to the present medication regimen. As the nurse completes the assessment, which data would support a diagnosis of fluid volume excess? Select all that apply.35.The nurse recognizes that interventions for a patient with dilated cardiomyopathy focus on controlling heart failure (HF). Which medications are prescribed decrease preload, to assist with this goal? Select all that apply.36.A patient is diagnosed with dilated cardiomyopathy. The nurse identifies that interventions should focus on controlling heart failure (HF) by enhancing what cardiac activities? Select all that apply.1.Improving diastolic filling2.Decreasing preload and afterload3.Improving myocardial contractility4.Relieving left ventricular outflow obstruction5.Improving ventricular filling by reducing ventricular contractilityThe patient is experiencing dilated cardiomyopathy. Interventions should be focused on controlling heart failure by decreasing preload and afterload and improving cardiac output, which will improve the quality of life. Relief of left ventricular outflow obstruction and improving ventricular filling by reducing ventricular contractility are the goals for hypertrophic cardiomyopathy. Interventions aimed at improving diastolic filling are associated with restrictive cardiomyopathy.
37.A patient states, "For my heart failure, I take hydrochlorothiazide. I take a second medication that helps improve my heart’s contractility." The patient’s assessment findings include hypokalemia, headache, and anorexia. The nurse