Exam heart.failure.pdf_question_answer.q

HEART FAILURE.QUESTIONP

1. Exam heart failure

2. A 65-year-old patient with acute decompensated heart failure is admitted to the ICU. Which medication should be administered first to manage fluid overload? a) Lisinopril b) Furosemide c) Metoprolol d) Digoxin

3. In the ICU, which of the following is a primary indicator that a patient’s heart failure is worsening? a) Decreased urine output b) Decreased heart rate c) Increased appetite d) Improved blood glucose levels

4. A patient with chronic heart failure is receiving inotropic therapy. Which drug is commonly used to improve cardiac contractility? Dopamine Spironolactone Nifedipine Enalapril

5. Which of the following signs is most indicative of right-sided heart failure in an ICU patient? Pulmonary edema Jugular venous distention Orthopnea S3 heart sound

6. A patient with heart failure presents with worsening dyspnea and crackles on auscultation. What is the most appropriate initial intervention? a) Increase oral intake b) Administer IV nitrates c) Discontinue diuretics d) Increase physical activity

7. What is the primary goal when managing a patient with cardiogenic shock in the ICU? Increase the patient’s blood glucose levels Improve cardiac output and tissue perfusion D ecrease the patient’s fever Improve gastrointestinal motility

8. Which laboratory test result is most critical to monitor in a patient receiving diuretics for heart failure? a) Serum calcium b) Serum potassium c) Serum glucose d) Serum sodium

9. In an ICU setting, a patient with heart failure develops acute renal failure. Which medication adjustment is most important? a) Increase the dose of ACE inhibitors b) Decrease the dose of diuretics c) Discontinue beta-blockers d) Increase the dose of inotropes

10. In managing heart failure, which of the following is the most appropriate initial treatment for a patient with severe hypotension and signs of shock? Administering a high dose of beta-blockers Starting IV vasopressors Increasing oral fluid intake Initiating a high-dose diuretic regimen

11. A patient in the ICU is started on a dobutamine infusion for heart failure. What is the primary effect of this medication? Vasodilation Decreased heart rate Increased cardiac contractility Diuresis