Perioperative Care of the Patient with Diastolic Heart Failure ... - AORN

June 2011 Vol 93 No 6 CE EXAMINATION6. Common causes of DHF include1. ischemic heart disease.2. hypertension.3. hypertrophic cardiomyopathy.4. pericarditis.5. restrictive cardiomyopathy.6. valvular heart disease.a. 1, 3, and 5 b. 2, 4, and 6c. 1, 2, 3, and 5 d. 1, 2, 3, 4, 5, and 67. The symptom of DHF that usually is noted first isa. ankle and leg edema.b. dizziness or lightheadedness.c. exercise intolerance with shortness of breath.d. whole body edema.8. _____________________________ should beaggressively treated before surgery to reduce therisk of perioperative heart failure.a. Atrial fibrillationb. Hypertensionc. Activity intoleranced. Chronic renal insufficiency9. Perioperative nurses must be prepared to helppromote positive surgical outcomes for a patientwho already has a compromised cardiovascularsystem by1. positioning the patient in the lawn chair positionduring induction if at all possible.2. initiating thermoregulatory measures beforesurgery.3. maintaining preoperative parameters as closelyas possible.4. maintaining thermoregulatory interventions inthe OR and during recovery.a. 1 and 2b. 1, 3, and 4c. 2, 3, and 4d. 1, 2, 3, and 410. Patients with a history of heart failure shouldavoid nonsteroidal anti-inflammatory drugs becausethey1. cause a decrease in renal blood flow.2. increase vascular resistance.3. inhibit prostaglandin synthesis.4. worsen the patient’s hemodynamic status.a. 1 and 3b. 2 and 4c. 1, 2, and 4d. 1, 2, 3, and 4The behavioral objectives and examination for this program were prepared by Rebecca Holm, MSN, RN, CNOR, clinical editor,with consultation from Susan Bakewell, MS, RN-BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewellhave no declared affiliations that could be perceived as posing potential conflicts of interest in the publication of this article.790 AORN Journal