Author Question: A client with heart failure is admitted to the hospital for the placement of an implantable ... (Read 32 times)

piesebel · **on:** Jun 25, 2018

A client with heart failure is admitted to the hospital for the placement of an implantable defibrillator. The client appears comfortable at rest but displays dyspnea with activities of daily living (ADLs).

In which stage of heart failure does the nurse classify this client?
A) I
B) II
C) III
D) IV

Question 2

A client is prescribed enalapril (Vasotec) for treatment of heart failure. Which assessment finding should cause the nurse concern following the initial administration of this drug?

A) Serious rash
B) Ototoxicity
C) Low blood pressure
D) Irregular pulse

mochi09 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

This client is in Stage III heart failure, or moderate heart failure. In this stage, the client is comfortable at rest but displays dyspnea with less than normal physical activity. Also in this stage, surgical intervention includes implantation of a defibrillator.

Answer to Question 2

Answer: C

Severe hypotension can occur after the initial administration of enalapril (Vasotec). Ototoxicity is an adverse effect of loop diuretics. Stevens-Johnson syndrome, a serious rash, and an irregular pulse are adverse effects of beta blockers.