Cardiomyopathy NCLEX questions

Cardiomyopathy NCLEX questions ScienceMedicineCardiology iliana26076 Save A 55- year old patient with dilated cardiomyopathy is admitted for increasing dyspnea and fatigue. The nurse assesses the patient's medication list. Which of the following medications should the nurse anticipate the healthcare provider will order to improve cardiac output?

• Metoprolol
• Furosemide
• Digoxin
• Liniopril

Answer: C. Digoxin

Rationale: Digoxin increases the force of myocardial contraction, improving cardiac output, which is crucial in dilated cardiomyopathy.

A patient with hypertrophic cardiomyopathy presents with sudden syncope. Which of the following interventions should the nurse prioritize?

• Administer oxygen
• initiate CPR
• Prepare for defibrillation
• Assess the airway and breathing

Answer: D. Assess the airway and breathing

Rationale: Syncope in hypertrophic cardiomyopathy is often related to outflow obstruction or arrhythmias.A patient with dilated cardiomyopathy is scheduled for an implantable cardioverter- defibrillator (ICD) insertion. The patient asks why this is necessary. What is the most appropriate response by the nurse?

• " The ICD will prevent further progression of cardiomyopathy".
• " The ICD will regulate your blood pressure".
• " The ICD will correct life-threatening arrhythmias."
• " The ICD will improve your overall heart function".

Answer. C " The ICD will correct life threatening arrhythmias".Rationale: ICDs are used to correct life-threatening arrhythmias that are common in patients with dilated cardiomyopathy.

A patient with restrictive cardiomyopathy is experiencing severe dyspnea. Which of the following is the nurse's priority action?

• Administer a bronchodilator
• Elevate the head of the bead
• Administer IV fluids
• Perform chest physiotherapy

Answer. B. Elevate the head of the bed.Rationale: Elevating the head of the bed improves lung expansion and reduces the work of breathing in a patient with cardiomyopathy and dyspnea.A patient with hypertrophic cardiomyopathy is prescribed a beta-blocker. What is the primary goal of this medication in this condition?

• to increase cardiac contractility.
• To reduce the risk of thromboembolism.
• To reduce the heart rate and myocardial oxygen demand
• To improve pulmonary function

Answer: C. To reduce the heart rate and myocardial oxygen demand.

Rationale: Beta-blockers reduce heart rate and myocardial oxygen demand, which helps prevent outflow obstruction in hypertrophic cardiomyopathy.A patient with dilated cardiomyopathy is admitted with pulmonary edema. Which of the following interventions should the nurse implement first?

• Administer IV furosemide.
• Insert and indwelling urinary catheter
• Obtain a Chest X-Ray
• Start an infusion of normal saline.

Answer: A. Administer IV Furosemide

Rationale: Furosemide helps reduce fluid overload, a priority in treating pulmonary edema.

A patient with cardiomyopathy is experiencing fatigue and shortness of breath. The nurse notes jugular vein distention and bilateral pitting edema.What nursing intervention is most appropriate?

• Encourage increased oral fluid intake
• Educate the patient about daily weight monitoring
• Encourage the patient to walk every 2 hours.
• Restrict Sodium to 4 grams per day

Answer: B. Educate the patient about daily weight monitoring

Rationale: Monitoring daily weight helps assess fluid retention, a key management strategy in cardiomyopathy.A patient with Hypertrophic cardiomyopathy reports dizziness when standing up. Which teaching point is most important for the nurse to include?

• Increase fluid intake
• Avoid standing up quickly
• Increase Salt intake
• Decrease Physical Activity

Answer: B Avoid standing up quickly

Rationale: Orthostatic hypotension can occur in hypertrophic cardiomyopathy, and standing up slowly can prevent dizziness.