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 fluid retention. However, trouble swallowing pills because of edema is not a common reason for medication non-adherence in these patients. The other options, such as expensive medications, lack of transportation to the pharmacy, and difficulty reading prescription labels, are commonly reported reasons for medication non-adherence in patients with heart failure.
3.
Which is least important to monitor in patients with heart failure?
Correct Answer
C. Temperature
Explanation
In patients with heart failure, monitoring respiratory rate, heart rate, and oxygen saturation are crucial as they provide important information about the functioning of the heart and lungs. However, temperature monitoring may be considered least important in this context as it does not directly reflect the severity or progression of heart failure. Temperature monitoring is more relevant in assessing for infection or other systemic conditions, which may indirectly impact heart failure management.
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
A gain of three pounds in a day would be the most concerning change in weight for patients with heart failure. This sudden and significant increase in weight could indicate fluid retention, which is a common symptom of heart failure. Fluid retention can put additional strain on the heart and worsen the condition. It is important for patients with heart failure to monitor their weight regularly and report any sudden weight gain to their healthcare provider.
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 is an important indicator in monitoring heart failure because it can indicate fluid retention, which is a common symptom of heart failure. By tracking the intake and output of fluids, healthcare professionals can assess the patient's fluid status and make appropriate 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 report chest pain. Weighing themselves weekly is important for monitoring fluid retention, which can be a sign of worsening heart failure. Taking their medicine as prescribed is crucial for managing symptoms and preventing complications. Following a low salt diet helps reduce fluid retention and manage blood pressure. However, reporting chest pain is not necessary for patients with well-controlled heart failure, as it is not a typical symptom of their condition.
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 find the maximum number of servings they can have by dividing the daily sodium limit by the sodium content per serving. In this case, 2000 mg divided by 230 mg equals approximately 8. Therefore, the person can have a maximum of 8 servings of french fries if that is all they eat on a given day.
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 and do not have a high water content. Unlike liquids such as pudding, jello, and orange, strawberries do not contribute to the overall fluid intake as they are not in a liquid form. Therefore, they would not be included in the calculation of fluid intake for patients with heart failure.
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 harmful chemicals that can worsen heart failure symptoms and increase the risk of heart attacks and other cardiovascular events. Smoking tobacco can also lead to the constriction of blood vessels, increasing blood pressure and putting additional strain on the heart. Therefore, it is important for patients with heart failure to avoid tobacco in any form to maintain their heart 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 any exercise regimen. This is because the doctor can assess the patient's specific condition and provide appropriate recommendations regarding the type, duration, and intensity of exercise that would be safe and beneficial for them. Exercise can have various effects on individuals with heart failure, and it is crucial to ensure that it is done in a controlled and supervised manner to prevent any potential harm or complications.