A nurse is caring for a client with heart failure secondary to an ...

[s.tung]

A nurse is caring for a client with heart failure secondary to an acute non-cardiac condition. Which condition would be excluded from the client's cause of heart failure?
 
  A) Massive pulmonary embolus
  B) Hyperthyroidism
  C) Rheumatic fever
  D) Volume overload

Question 2

The nurse is planning care for an infant with congestive heart failure (CHF). What should the nurse include in this child's care?
 
  A) Give larger feedings less often to conserve energy.
  B) Organize activities to allow for uninterrupted sleep.
  C) Monitor respirations during active periods.
  D) Force fluids appropriate for age.

[Toya9913]

Answer to Question 1

Answer: C

Heart failure is caused by either impaired myocardial function, increased cardiac workload, or acute non-cardiac conditions. Acute non-cardiac conditions include massive pulmonary embolus, hyperthyroidism, and volume overload. Rheumatic fever is a condition that causes impaired myocardial function.

Answer to Question 2

Answer: B

It is important to allow for uninterrupted sleep in order to decrease metabolic demands on the heart. Fluids should be restricted to those that are high in calories and low in volume in order to avoid overloading the lungs with fluid. Respirations are difficult to monitor during active periods, making this an unrealistic goal. Small-volume, high-calorie feedings should be given.