Medical Surgical Heart failure #1

Question

The nurse performs an admission assessment for an older client admitted to the telemetry floor. The client’s history reveals type 2 diabetes, mitral valve prolapse, and hypertension. Which assessment information is an important indication of risk for heart failure (HF)? Select all that apply

Answers

  1. The client takes furosemide 20 mg/day.
    • Rationale:

      This answer is not correct because furosemide intake is a treatment of HF, not a risk for HF. Furosemide is a loop diuretic which assists in decreasing the fluid overload which contributes to decreased output and increased workload of the heart.

  2. The client's potassium level is 4.7 mEq/L.
    • Rationale:

      This answer is not correct because a potassium level of 4.7 mEq/L is within normal range. The normal range is 3.5-5.3 mEq/L.

  3. The client is an African American man.
    • Rationale:

      This answer is correct because studies have revealed HF risks in African American men and women because of higher linkages with ethnicity and other comorbidities that may contribute to heart disease and HF. Also, prevalence of heart failure (HF) increases with age and having other conditions such as diabetes and hypertension may increase risks for having HF.

  4. The client's age is greater than 65.
    • Rationale:

      This answer is correct because prevalence of heart failure (HF) increases with age and having other conditions such as diabetes and hypertension may increase risks for having HF. Also, studies have revealed HF risks in African American men and women because of higher linkages with ethnicity and other comorbidities that may contribute to heart disease and HF.

  5. The client's BMI is 32.
    • Rationale:

      This answer is correct because a BMI of 32 indicates the client is obese. People who are obese have a higher risk of heart failure. Obese individuals have need of more blood to supply their body’s oxygen demands. This leads to other risk factors such as high blood pressure, high cholesterol and diabetes.

Overview

Increased risks and prevalence of heart failure (HF) is highly associated with increased age. Furthermore, studies have revealed a significantly increased HF risk in African American men and women.

Explanation

Learning Outcomes

Prevalence of heart failure (HF) increases with age and having other conditions such as diabetes and hypertension may increase risks for having HF. Studies have revealed HF risks in African American men and women because of higher linkages with ethnicity and other comorbidities that may contribute to heart disease and HF. Other risk factors are obesity, elevated cholesterol, smoking, and ischemic heart disease. Clients should be taught to control things that can be changed, such as obesity, elevated cholesterol, and smoking.

Test Taking Tip

Understanding normal labs will help eliminate answers.

Video Rationale