ATI Test Bank, Cardiac and Associated Risk Disorders 100% Correct Answers, Download to Score A MULTIPLE CHOICE 1.The nurse suspects a clients heart is failing when which of the following heart sounds is assessed? 2.A client is diagnosed with heart failure. Which of the following diagnostic tests is useful to determine the degree of the failure? 3.A nurse is instructing a client regarding medications and substances contraindicated for the client with heart failure. Which of the following would not be contraindicated? 4.The nurse is determining nursing diagnoses appropriate for a client demonstrating productive cough with pink frothy sputum, shortness of breath, and crackles. Which of the following nursing diagnoses is of the most importance? 5. In planning the care for a client diagnosed with heart failure, which of the following would be an appropriate goal? 13.A client is scheduled for annuloplasty surgery to the aortic valve. Which of the following will most likely occur during this clients procedure? MULTIPLE RESPONSE 1.The nurse suspects a client is experiencing left-sided heart failure when which of the following is assessed? (Select all that apply.) 1.Decreased basilar lung sounds 2.Distended neck veins 3.Extra heart sounds 4.Lung crackles 5.Tachycardia 6.Weight gain 5.The nurse determines that a client diagnosed with pericarditis is demonstrating the classic signs of the Beck triad. What are the signs of the Beck triad? (Select all that apply.) 1.Fever 2.Dyspnea 3.Muffled heart sounds 4.Elevated jugular vein pressure 5.Hypotension 6.Abdominal pain