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LORMA COLLEGES
San Fernando City, La Union
COLLEGE OF NURSING
NCM 106 - School Year 2014 2015
HEART FAILURE and CARDIOMYOPATHY

Application Exercises:
1. List the signs and symptoms of heart failure.
Right sided heart failure

Left sided heart failure

2. Provide the rationale for each of the following therapies.

Therapy
Rationale
Oxygen
administration
Diuretics
Bedrest
Inotropic agents
Vasodilators
Fluid restriction
Sodium
Restriction
3. What should a nurse include when planning discharge teaching for a client with heart
failure? (At least 8)
4. A client with a diagnosis of HF reports increased SOB. You increase the oxygen per
protocol. Which of the following should be the nurses next action?
A. Notify the primary care provider
C. Auscultate the lungs, listening for
crackles
B. Assist the client into high-Fowlers position
D. Check O saturation with
pulse oximeter
5. A client with a diagnosis of HF asks how to limit fluid intake to 2,000 mL/day. The nurses
best response would be
A. This is the same as a 2L bottle of soda. Pour the amount of fluid you drink into an
empty soda bottle to keep track of how much you drink.
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B. Each glass contains 8 0z. There are 30mL per ounce, so you can have a total of 8
glasses or cups of fluid each day.
C. This is the same as 2 quarts or about the same as two pots of coffee.
D. Just take sips of water or ice chips. This way you will not take in too much fluid.

6. A client with a diagnosis of HF reports not taking diuretics on day that activities are
scheduled to prevent having to go to the bathroom all the time. Which of the following
statements by the nurse assesses the effect of this action?
A. Do you take the medication later in the day when you return home?
B. Do you have more difficulty breathing or swelling in your legs the next day?
C. You should take the medicine earlier so its effect is gone before the activity begins.
D. That is why you had to be admitted to the hospital again to remove excess water.
7. Which of the following client findings might suggest digitalis toxicity or a risk for digitalis
toxicity? (Check all that apply.) RIGHT MINUS WRONG
___S. potassium of 3.2 mEq/L ___ Blurred vision
___ Renal Failure
___Apical HR of 54//min
___ Dysrhythmia
___ weight gain of 2 lb in 1
day
___ Leg cramps
___ Slurred speech
___ SOB
___Anorexia
___ Altered mental status
8. Identify which of the following food selections are high in sodium (Mark with an S) and
which are high in potassium (mark with a P). In general, clients with heart failure may
need to reduce sodium intake and to increase potassium intake.
Cheese ( Cheddar, cottage, cheese
Cantaloupe (Japanese Melon)
Milk
Soy sauce
Cured meats (pork)
White potatoes
Avocado
Banana
Raisins
Meats (beefs, pork, chicken, veal)
Codfish, salmon, tuna

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