NUR 242 2 -NUR 242 Exam 3
BEST OF 2024-2025
QUESTION ANSWERS WELL
DEFINED (latest update)
GRADED A+
grandparent with chronic heart failure? - CORRECT ANSWER-Initiate a referral for assessment of
home health and schedule a family conference.
A client with heart failure weighed 175 lb (79.4 kg) yesterday, and today's weight is 181 lb (82.1
kg). How many milliliters of fluid has the client retained? . ___mL - CORRECT ANSWER-2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complication of heart failure would daily weights help monitor? -
CORRECT ANSWER-Fluid retention
Which intervention would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure? - CORRECT ANSWER-Providing small, frequent feedings
The nurse provides teaching to a client who is being discharged after an acute exacerbation of
chronic obstructive pulmonary disease (COPD). The nurse would instruct the client to monitor
for which indication of right-sided heart failure? - CORRECT ANSWER-Weight gain
When a client with heart failure reports frequent sudden waking during the night with
shortness of breath, how will the nurse document this finding? - CORRECT ANSWER-Paroxysmal
nocturnal dyspnea
,The nurse explains to a pregnant client with a class II heart failure that in pregnancy the cardiac
system is most compromised during which time? - CORRECT ANSWER-First 2 days after the birth
Which sign would indicate possible heart failure in a client with heart disease in the immediate
postpartum period? - CORRECT ANSWER-Tachypnea
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to
drink a glass of orange juice every day? - CORRECT ANSWER-Maintaining potassium levels
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to
drink a glass of orange juice every day? - CORRECT ANSWER-Maintaining potassium levels
When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing
action is important to include when planning care? - CORRECT ANSWER-Monitor the client for
cardiac dysrhythmias.
A client with left ventricular heart failure and supraventricular tachycardia is prescribed digoxin
0.25 mg daily. Which changes would the nurse expect to find if this medication is therapeutically
effective? Select all that apply. One, some, or all responses may be correct. - CORRECT
ANSWER-Diuresis
Decreased edema
Decreased pulse rate
A client with hypertensive heart disease who had an acute episode of heart failure is to be
discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate
when metoprolol is administered with digoxin? - CORRECT ANSWER-Bradycardia
A health care provider prescribes milrinone for a client with congestive heart failure. Which
action would the nurse perform first? - CORRECT ANSWER-Have the prescription, dosage
calculations, and pump settings checked by a second nurse
, Which care plan would the nurse implement for an infant admitted to the pediatric unit with
the diagnosis of heart failure? - CORRECT ANSWER-Offer the infant small, frequent feedings
Which parent education would the nurse provide as rationale for gavage feedings in an infant
with congestive heart failure? - CORRECT ANSWER-The energy that would have been expended
on suckling is conserved
Which assessment finding for a client with heart failure who is taking digoxin will be most
important to communicate to the health care provider? - CORRECT ANSWER-Premature
ventricular contractions
Which statement made by the nursing student requires correction regarding the effect of
applying the Roy adaptation model on improved functional status in clients with heart failure? -
CORRECT ANSWER-Use of literature resources supports practical-based nursing interventions."
The nurse assesses bilateral +4 peripheral edema while assessing a client with heart failure and
peripheral vascular disease. Which is the pathophysiological reason for the excessive edema? -
CORRECT ANSWER-Shift of fluid into the interstitial spaces
A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this
medication? - CORRECT ANSWER-Slows and strengthens cardiac contractions
A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary
edema. The health care provider prescribes furosemide 40 mg intravenous (IV) stat to be
repeated in 1 hour. Which nursing action will best evaluate the effectiveness of the furosemide
in managing the client's condition? - CORRECT ANSWER-Auscultating breath sounds
Digoxin is prescribed for a client with heart failure. The nurse will assess for which signs and
symptoms that indicate digoxin toxicity? Select all that apply. One, some, or all responses may
be correct. - CORRECT ANSWER-Nausea
BEST OF 2024-2025
QUESTION ANSWERS WELL
DEFINED (latest update)
GRADED A+
grandparent with chronic heart failure? - CORRECT ANSWER-Initiate a referral for assessment of
home health and schedule a family conference.
A client with heart failure weighed 175 lb (79.4 kg) yesterday, and today's weight is 181 lb (82.1
kg). How many milliliters of fluid has the client retained? . ___mL - CORRECT ANSWER-2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complication of heart failure would daily weights help monitor? -
CORRECT ANSWER-Fluid retention
Which intervention would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure? - CORRECT ANSWER-Providing small, frequent feedings
The nurse provides teaching to a client who is being discharged after an acute exacerbation of
chronic obstructive pulmonary disease (COPD). The nurse would instruct the client to monitor
for which indication of right-sided heart failure? - CORRECT ANSWER-Weight gain
When a client with heart failure reports frequent sudden waking during the night with
shortness of breath, how will the nurse document this finding? - CORRECT ANSWER-Paroxysmal
nocturnal dyspnea
,The nurse explains to a pregnant client with a class II heart failure that in pregnancy the cardiac
system is most compromised during which time? - CORRECT ANSWER-First 2 days after the birth
Which sign would indicate possible heart failure in a client with heart disease in the immediate
postpartum period? - CORRECT ANSWER-Tachypnea
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to
drink a glass of orange juice every day? - CORRECT ANSWER-Maintaining potassium levels
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to
drink a glass of orange juice every day? - CORRECT ANSWER-Maintaining potassium levels
When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing
action is important to include when planning care? - CORRECT ANSWER-Monitor the client for
cardiac dysrhythmias.
A client with left ventricular heart failure and supraventricular tachycardia is prescribed digoxin
0.25 mg daily. Which changes would the nurse expect to find if this medication is therapeutically
effective? Select all that apply. One, some, or all responses may be correct. - CORRECT
ANSWER-Diuresis
Decreased edema
Decreased pulse rate
A client with hypertensive heart disease who had an acute episode of heart failure is to be
discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate
when metoprolol is administered with digoxin? - CORRECT ANSWER-Bradycardia
A health care provider prescribes milrinone for a client with congestive heart failure. Which
action would the nurse perform first? - CORRECT ANSWER-Have the prescription, dosage
calculations, and pump settings checked by a second nurse
, Which care plan would the nurse implement for an infant admitted to the pediatric unit with
the diagnosis of heart failure? - CORRECT ANSWER-Offer the infant small, frequent feedings
Which parent education would the nurse provide as rationale for gavage feedings in an infant
with congestive heart failure? - CORRECT ANSWER-The energy that would have been expended
on suckling is conserved
Which assessment finding for a client with heart failure who is taking digoxin will be most
important to communicate to the health care provider? - CORRECT ANSWER-Premature
ventricular contractions
Which statement made by the nursing student requires correction regarding the effect of
applying the Roy adaptation model on improved functional status in clients with heart failure? -
CORRECT ANSWER-Use of literature resources supports practical-based nursing interventions."
The nurse assesses bilateral +4 peripheral edema while assessing a client with heart failure and
peripheral vascular disease. Which is the pathophysiological reason for the excessive edema? -
CORRECT ANSWER-Shift of fluid into the interstitial spaces
A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this
medication? - CORRECT ANSWER-Slows and strengthens cardiac contractions
A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary
edema. The health care provider prescribes furosemide 40 mg intravenous (IV) stat to be
repeated in 1 hour. Which nursing action will best evaluate the effectiveness of the furosemide
in managing the client's condition? - CORRECT ANSWER-Auscultating breath sounds
Digoxin is prescribed for a client with heart failure. The nurse will assess for which signs and
symptoms that indicate digoxin toxicity? Select all that apply. One, some, or all responses may
be correct. - CORRECT ANSWER-Nausea
