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Heart FailureMedical Surgical Nursing

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Question Answer
What is the earliest symptom of heart failure?
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Fatigue
_______ occurs when a patient is asleep and results in a patient waking in panic, with a sensation of suffocating and a strong desire to sit up.
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Paroxysmal Nocturnal Dyspnea
What can a dry, hacking cough that is unrelieved by position change or OTC meds be a symptom of?
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Paroxysmal nocturnal dyspnea and heart failure
What are the early clinical signs of heart failure? (4)
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Fatigue, dyspnea, paroxysmal nocturnal dyspnea, tachycardia
Right sided of left sided heart failure? Ascites
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Right
Right sided of left sided heart failure? Anasarca
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Right
Right sided of left sided heart failure? Hepatomegaly
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Right
Right sided of left sided heart failure? Right upper quadrant pain
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Right
Right sided of left sided heart failure? Dependent, bilateral edema
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Right
Right sided of left sided heart failure? PMI displaced inferiorly and posteriorly
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Left
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Right sided of left sided heart failure? S3 and S4 heart sounds
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Left
Right sided of left sided heart failure? Changes in mental status
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Left
Right sided of left sided heart failure? Nocturia
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Left
Right sided of left sided heart failure? Paroxysmal Nocturnal Dyspnea (PND)
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Left
Right sided of left sided heart failure? Dry, hacking cough
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Left
A weight gain of ________ in 2 days is considered indicative of worsening heart failure.
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3 lbs (1.4 kg)
What skin changes can occur from chronic heart failure?
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It may appear dusky, feel cool and damp, the lower extremities may appear shiny and swollen with reduced or no hair growth, ankles and lower legs may appear brawny or brown
What are the general complications from heart failure? (5)
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Pleural effusion, dysrhythmias, left ventricular thrombus, hepatomegaly, and renal failure
Atrial fibrillation is a common complication of heart failure. What are the associated risks for a patient who develops this dysrhythmia?
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Thrombus formation are common with atrial fibrillation, so patients who experience it are at higher risk for stroke
What are the NYHA Functional Classifications of heart disease?
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I-IV with I being no limitations and IV being inability to perform any physical activity without discomfort
ACC/AHA stages of heart failure are graded A, B, C, and D. At what stage(s) does a patient have heart failure?
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C and D. The major difference between C and D is that patients classified as D have significant signs/symptoms of heart failure
  
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