Congestive Heart Failure

5 Written Questions

1. Impaired cardiac pumping
   Associated with long-standing HTN and CAD
2. HTN
   Cardiomyopathy
   Rheumatic heart disease
   CAD
3. Pleural effusion
   Arrhythmias
   Left ventricular thrombus
   Hepatomegaly
4. Ascites
   Peripheral edema
   Hepatomegaly
   RUQ pain
   Splenomegaly
   JVD
   Anorexia
5. Most common form
   Blood backs up through the left atrium into the pulmonary veins
   Pulmonary congestion and edema

5 Multiple Choice Questions

1. Agitation, restless, anxious
   Pale or cyanotic
   Cold, clammy skin
   Severe dyspnea/suffocation feeling
   Tachypnea
   Pink frothy sputum
   Pulse weak & rapid
   JVD
   Incessant coughing
   1. Pulmonary edema
   2. Nursing Diagnoses
   3. S/S Pulomonary edema
   4. CHF Risk Factors
2. Abnormal accumulation of fluid in the lungs.
   May be in the interstitial space or alveoli
   Can occur d/t MI or exacerbation of HF
   1. Patient teaching
   2. CHF Diagnostics
   3. S/S Pulomonary edema
   4. Pulmonary edema
3. ACEI
   ARBs
   Combo: hydralazine/isosorbide dinitrate
   Beta-blockers
   Diuretics
   Digoxin
   Ca++ channel blockers
   1. Pharmacologic management
   2. Patient teaching
   3. Nursing Diagnoses
   4. Pulmonary edema
4. Medication regimen
   Dietary restrictions
   Daily weights
   Physical activity
   Smoking cessation
   S/S of worsening HF
   1. Patient teaching
   2. CHF
   3. Pulmonary edema
   4. Complications of CHF
5. Chest x-ray
   ECG
   Hemodynamic assessment
   Lytes, BUN, creatinine, UA
   BNP
   Stress testing
   1. Nursing Diagnoses
   2. CHF Risk Factors
   3. CHF
   4. CHF Diagnostics

4 True/False Questions

1. Right sided failure → Most common form
   Blood backs up through the left atrium into the pulmonary veins
   Pulmonary congestion and edema

   True        False

2. CHF Risk Factors → CAD
   Age
   Hypertension
   Obesity
   Cigarette smoking
   Diabetes mellitus
   High cholesterol
   African American descent

   True        False

3. Nursing Diagnoses → Chest x-ray
   ECG
   Hemodynamic assessment
   Lytes, BUN, creatinine, UA
   BNP
   Stress testing

   True        False

4. Clinical Manifestations of LSF → DOE/PND
   SOB
   Rales
   Cough
   Oliguria/nocturia
   Confusion/anxiety
   Tachycardia
   Fatigue
   Pale, cool, clammy skin

   True        False