Heart Failure in Older Adults: Stage D
About the Lecture
The lecture Heart Failure in Older Adults: Stage D by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of Cardiovascular System Disorders in the Older Adult.
Included Quiz Questions
Which of the following findings is a diagnostic criterion for advanced Stage D heart failure?
- Multiple hospitalizations for heart failure in the past year
- Mild symptoms with moderate exertion (NYHA Class II)
- Left ventricular ejection fraction of 45%
- Occasional episodes of fluid retention that respond well to oral diuretics
- Stable renal function with normal creatinine levels
Which element is most important to document during shared decision-making discussions with a patient who has advanced heart failure?
- The patient’s values, goals, and preferences regarding end-of-life care
- The family’s desire for the patient to receive experimental treatments
- The provider’s recommendation for aggressive care regardless of patient preference
- The hospital’s protocol for heart failure management
- Insurance coverage for various treatment options
What is an appropriate approach when a patient with Stage D heart failure requests deactivation of their implantable cardioverter-defibrillator (ICD)?
- Document the conversation, issue a device deactivation directive, and update the care plan
- Refuse the request, as ICD deactivation is never medically appropriate
- Require the patient to sign a liability waiver before proceeding
- Immediately deactivate the device without further discussion
- Increase the shock threshold without informing the patient
Which medication adjustment is most appropriate for comfort-focused care in a patient with Stage D heart failure?
- Continue a low-dose diuretic and discontinue statins and aspirin
- Increase all cardiac medications to maximum doses
- Discontinue all medications, including diuretics
- Add high-dose beta-blockers to prevent tachycardia
- Initiate aggressive insulin therapy for tight glucose control
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Author of lecture Heart Failure in Older Adults: Stage D
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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