1.
Common signs of edema in patients with heart failure include all but…
Correct Answer
B. Swollen tongue
2.
All of the following are common reasons for medication non-adherence in patients with heart failure except…
Correct Answer
A. Trouble swallowing pills because of edema
Explanation
Patients with heart failure may experience edema, which is the swelling of body tissues due to excess fluid. This can make it difficult for them to swallow pills. However, trouble swallowing pills because of edema is not a common reason for medication non-adherence in patients with heart failure. The other options, such as expensive medications, lack of transportation to the pharmacy, and difficulty reading prescription labels, are common reasons for medication non-adherence in these patients.
3.
Which is least important to monitor in patients with heart failure?
Correct Answer
C. Temperature
Explanation
Monitoring temperature is least important in patients with heart failure because it is not directly related to the functioning of the heart. Heart rate, respiratory rate, and oxygen saturation are all important parameters to monitor in heart failure patients as they can indicate the severity of the condition and the effectiveness of treatment. Temperature, on the other hand, may be influenced by various factors unrelated to heart failure and may not provide significant information about the patient's cardiac status.
4.
What change in weight would be most concerning in patients with heart failure?
Correct Answer
D. Gain of three pounds in a day
Explanation
In patients with heart failure, a sudden and significant gain of three pounds in a day would be most concerning. This rapid weight gain could indicate fluid retention, which is a common symptom of heart failure. Fluid buildup can put additional strain on the heart and worsen the condition. Therefore, a sudden increase in weight in a short period of time could be a sign of worsening heart failure and should be addressed promptly by a healthcare professional.
5.
What is true about I’s and O’s in monitoring heart failure?
Correct Answer
D. A positive I/O balance means the patient has taken in more fluid than put out
Explanation
A positive I/O balance means that the patient has consumed more fluid than they have excreted. This can be an indicator of fluid overload, which is often seen in heart failure patients. Monitoring I&O (intake and output) is important in managing heart failure because it helps healthcare providers assess the patient's fluid status and make necessary adjustments to their treatment plan.
6.
Patients with well-controlled heart failure should do all of the following except…
Correct Answer
A. Weigh themselves weekly
Explanation
Patients with well-controlled heart failure should do all of the following except weigh themselves weekly. Regularly weighing themselves is important for monitoring fluid retention and detecting any sudden weight gain, which can be a sign of worsening heart failure. This allows for early intervention and adjustment of treatment. Therefore, it is essential for patients to weigh themselves regularly as part of their self-care routine.
7.
If a person with heart failure is restricted to 2000 mg of sodium daily, what is the maximum number of servings of french fries (230 mg of sodium per serving) the person can have if that is all they eat on a given day?
Correct Answer
B. 8
Explanation
If a person with heart failure is restricted to 2000 mg of sodium daily and each serving of french fries contains 230 mg of sodium, we can determine the maximum number of servings by dividing the total allowable sodium intake by the sodium content per serving. In this case, 2000 mg divided by 230 mg equals approximately 8.69. Since the person cannot have a fraction of a serving, the maximum number of servings of french fries they can have is 8.
8.
Which food item would not count as a liquid in calculating fluid intake in patients with heart failure?
Correct Answer
B. Strawberries
Explanation
Strawberries would not count as a liquid in calculating fluid intake in patients with heart failure because they are a solid food item. Unlike liquids such as pudding, Jello, and orange, strawberries do not have a high water content and are not in a liquid form. Therefore, they would not contribute to the overall fluid intake calculation for these patients.
9.
The intake of which of the following is not safe in patients with heart failure, even in moderation?
Correct Answer
C. Tobacco
Explanation
Tobacco is not safe for patients with heart failure, even in moderation. Tobacco contains nicotine and other harmful chemicals that can constrict blood vessels, increase heart rate, and raise blood pressure. These effects can put additional strain on the already weakened heart of patients with heart failure, potentially worsening their condition and increasing the risk of cardiovascular events. Therefore, it is recommended that patients with heart failure avoid tobacco in any form to protect their cardiovascular health.
10.
What is always true about exercise in patients with heart failure?
Correct Answer
A. Patients should check with their doctor first
Explanation
It is always important for patients with heart failure to consult with their doctor before starting an exercise regimen. This is because the doctor can assess the patient's specific condition and provide guidance on the type, intensity, and duration of exercise that is safe and beneficial for them. Exercise can have both positive and negative effects on patients with heart failure, so it is crucial to have medical supervision to ensure that the exercise program is tailored to the individual's needs and limitations.