Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which parameter is NOT typically monitored during assessment of patients with heart failure?

1. Electrolyte imbalances

2. Fluid retention

3. Skeletal muscle strength

4. Vital signs

The correct answer is: Skeletal muscle strength

In the context of assessing patients with heart failure, monitoring skeletal muscle strength is not typically prioritized. Heart failure primarily affects the cardiovascular system, leading to symptoms like fluid retention, changes in electrolyte levels, and variations in vital signs, such as heart rate and blood pressure. These parameters are essential in managing heart failure because they directly relate to the patient's condition and treatment response. Electrolyte imbalances are critical to monitor as they can influence cardiac function and arrhythmias. Fluid retention is another key aspect, often assessed through weight changes, edema, and related symptoms, as it indicates worsening heart failure and may require adjustments in treatment. Vital signs are routinely checked to ensure stability and detect deterioration in the patient's condition. In contrast, skeletal muscle strength is generally assessed in patients for rehabilitation or physical functioning but is not a primary parameter in the clinical management of heart failure itself. The focus is more on the physiological aspects pertinent to heart function and fluid status rather than muscular strength, which is less directly relevant to heart failure management.