Transforming Heart Failure Care With Nurse Strategies : Pre-test

1.

During rounds, the team expresses hesitancy to start new therapies in a patient admitted for a heart failure exacerbation before discharge, suggesting outpatient follow-up instead. As the nurse, what is the most appropriate response?

A. “I understand your concerns, but since the patient is stable, it is safe to initiate an SGLT2 inhibitor prior to discharge.”
B. “I’ll document that the patient meets criteria for an SGLT2 inhibitor, and I’ll flag it for follow-up post- discharge for the outpatient team to address.”
C. “Given the patient’s medication list, I have concerns about polypharmacy. Since the patient is now stable, let’s avoid adding yet another medication to their regimen.”
D. “I agree with the team’s decision. I’ll make sure the patient receives education on heart failure management and understands that an SGLT2 inhibitor may be added later.”

2.

According to physician-reported data, what is the most common reason that patients with heart failure are not on all 4 pillars of GDMT?

A. Clinical inertia
B. Cost of medications
C. Patient proven to be intolerant
D. Patient preference

3.

How often do you recommend initiating an SGLT2 inhibitor in a clinically stable patient hospitalized with heart failure prior to discharge?

A. Never
B. Rarely
C. Sometimes
D. Frequently
E. Always

4.

Which of the following nursing actions is most likely to address a common barrier to SGLT2 inhibitor use in eligible patients with heart failure?

A. Delay initiation until cardiology confirms all GDMT agents are titrated to target doses
B. Monitor for signs of hypoglycemia, particularly in patients without diabetes
C. Recommend discontinuing background diuretics upon starting the SGLT2 inhibitor to avoid volume depletion
D. Review the patient’s recent renal labs and educate them on proper genital hygiene and hydration to minimize potential adverse effects

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Transforming Cardiorenal Care: Nurse-Led Strategies for Heart Failure Management With SGLT2 Inhibitors

Midge Bowers, DNP, FNP-BC, FAANP, FAAN, FACC

Stephen J. Greene, MD

Pretest

Please answer the questions below.

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