Post sim: Charles Jones
1.
The nurse recognizes the clinical manifestations of chronic heart failure when the patient, Charles Jones,
exhibits which sign(s) or symptoms)? (Select all that apply.)
Correct answer: Dependent edema, Jugular venous distention, Decreased urine output, Dyspnea
2.
In reviewing what the nurse knows to be true about acute decompensated heart failure, which factors) is
responsible for causing symptoms Charles Jones is displaying? (Select all that apply.)
Correct answer: Low ejection fraction, Ventricular hypertrophy, Valvular heart disease, Chronic hypertension,
Dysrhythmias
3. After initial identification of potential for acute decompensated heart failure in Charles
Jones, the nurse's priority is to assess or assess for (Choose Answer) followed by (Choose Answer).
Correct answer: oxygen status & urinary output
4.
Which provider order(s) would be most important for the nurse to implement for Charles Jones? (Select all
that apply.)
Correct answer: Draw blood for brain natriuretic peptide (BNP) laboratory studies, Administer loop diuretic, Obtain an
echocardiogram, Administer supplemental oxygen
5.
Which assessment(s) or intervention(s) is the nurse's priority for addressing Charles Jones's respiratory
distress? (Select all that apply.)
Correct answer: Assess airway and breathing, Assess urinary output, Monitor pulse oximetry, Perform a cardiac
assessment
6.
After administering (Choose Answer), which is the priority medication to treat acute decompensated heart
failure, the nurse recognizes that the medication is effective when Charles Jones's (Choose Answer).
Correct answer: nitroglycerin, blood pressure decreases