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

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Question 1 of 5

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

Correct Answer: B

Rationale: Non-compliance with medication like Amiodarone (B) and atrial fibrillation increase heart failure exacerbation risk due to irregular heart workload. The others have lower immediate risk.

Question 2 of 5

Tachycardia refers to

Correct Answer: C

Rationale: Tachycardia is defined as an abnormally rapid heart rate, typically above 100 beats per minute.

Question 3 of 5

The charge nurse observes a new registered nurse(RN) doing discharge teaching for a patient with hypertension who has a new prescription for enalapril(Vasotec). The charge nurse will need to intervene if the new RN tells the patient to

Correct Answer: A

Rationale: The ACE inhibitors cause retention of potassium by the kidney, so hyperkalemia is a possible adverse effect. The other teaching by the new RN is appropriate for a patient with newly diagnosed hypertension who has just started therapy with enalapril.

Question 4 of 5

A patient with newly diagnosed hypertension has come to the clinic for a follow-up visit. The patient asks the nurse why she has to come in so often. What would be the nurse's best response?

Correct Answer: D

Rationale: When hypertension is initially detected, nursing assessment involves carefully monitoring the BP at frequent intervals and then at routinely scheduled intervals. The reference to stroke is frightening and does not capture the overall rationale for the monitoring regimen. Changes throughout the day are not a clinical priority for most patients. The patient must not change his or her medication doses unilaterally.

Question 5 of 5

What is the O2 consumption of a beating heart at rest?

Correct Answer: D

Rationale: The oxygen consumption of a resting heart is approximately 9 ml/100g/min.

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