NUR 242 Med Surg Exam 2 Question and
Answer | Latest Update Complete Exam
Prep with Accurate Solutions | Grade A+
• Which assessment finding by the nurse caring for a client with new-onset atrial
fibrillation would be most important to communicate to the health care provider? -
✓✓Sudden vision change
• A client who has atrial fibrillation with rapid ventricular response is started on a
continuous heparin infusion. Which clinical finding enables the nurse to conclude that
the heparin therapy is effective? -✓✓An activated partial thromboplastin time (aPTT) is
twice the usual value.
• When treating clients for osteoporosis, which medication has a side effect of atrial
fibrillation when infused too quickly? -✓✓Zoledronic acid
• After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client
with chronic atrial fibrillation, which action would the nurse take next? -✓✓Take the
client's apical pulse for a full minut
• Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most
important to report quickly to the health care provider? -✓✓Right arm weakness
• When teaching a client with atrial fibrillation about a new prescription for warfarin, the
nurse will include information about which vitamin? -✓✓Vitamin K
• Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? -✓✓Take pulse apically for a full minute.
• Which action would the nurse include in the plan of care for a client who had an
ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation
therapy to prevent further strokes from occurring? Select all that apply. One, some, or
all responses may be correct. -✓✓Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
• Which client response must the nurse monitor to determine the effectiveness of
amiodarone? -✓✓Decrease in cardiac dysrhythmias
• The nurse provides discharge teaching to a client who has received prescriptions for
digoxin, furosemide, and a 2-g sodium diet. Which statement from the client indicates
,that further teaching is needed? -✓✓I can use a little table salt on my food as long as I
do not use it when cooking food.
• A 2-month-old infant with the diagnosis of heart failure is discharged with a
prescription for oral digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled
"0.05 mg/mL." Which item would the nurse teach the mother to use when administering
the medication? -✓✓Calibrated syringe
• An infant with congenital heart disease is prescribed digoxin and furosemide upon
discharge. Which sign would the nurse instruct the parents to be alert for? -✓✓Difficulty
feeding with vomiting
• A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5
mg twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer
type. Which instruction would the nurse include when teaching the client's spouse about
medication administration? -✓✓Prefill a weekly medication box with the medications for
the client to self-administe
• A client with congestive heart failure is receiving intravenous digoxin (Cardoxin)
therapy. The registered nurse identifies that which items on the client's care plan are
appropriate for a licensed practical nurse (LPN) to perform? Select all that apply. One,
some, or all responses may be correct. -✓✓Help the client ambulate when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
• The clinic nurse receives a call from the mother of an infant prescribed digoxin. The
mother reports she forgot whether she gave the morning dose of digoxin. Which
response by the nurse is most appropriate? -✓✓Skip this dose and give it at the next
prescribed time
• The nurse teaches the parents of a 4-year-old child about the administration of digoxin
elixir twice a day. Which statement indicates to the nurse the parents need further
teaching? -✓✓"We should give the digoxin twice a day, at breakfast and dinner
• Which lifestyle advice does the nurse give to a client when oral digoxin therapy is
initiated? Select all that apply. One, some, or all responses may be correct. -✓✓Bran
can decrease digoxin absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the blood.
Medications that lower serum potassium or magnesium can cause digoxin toxicity
• The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which
sign of digoxin toxicity would the nurse monitor for? -✓✓Vomiting
, • A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads
"Digoxin 0.125 mg/mL." What is the total amount of medication, in milligrams, the child
takes each day?____ mg -✓✓0.3
• According to developmental norms for a 5-year-old child, the nurse would hold digoxin
if an apical heart rate falls below which number? -✓✓70 beats/min
• A health care provider prescribes digoxin for a client. The nurse teaches the client to
be alert for which common early indication of acute digoxin toxicity? -✓✓Vomiting
• When teaching a client about digoxin, which symptom will the nurse include as a
reason to withhold the digoxin? -✓✓yellow vision
• Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? -✓✓Cardiac dysrhythmias
• A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? -✓✓"The medication may need to be
discontinued. Come to the clinic this afternoon."
• Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? -✓✓Increased contractile force of the myocardium
• A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify
as a risk factor for straining due to constipation? -✓✓Morphine
• 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? -✓✓Maintaining potassium levels
• Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The
nurse will monitor the client for signs and symptoms of which adverse effect? -
✓✓Myocardial depression
• The nurse is providing discharge medication teaching to a client who will be taking
furosemide and digoxin after discharge from the hospital. Which information is important
for the nurse to include in the teaching plan? -✓✓Signs and symptoms of digoxin toxicity
• When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which
nursing action is important to include when planning care? -✓✓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
Answer | Latest Update Complete Exam
Prep with Accurate Solutions | Grade A+
• Which assessment finding by the nurse caring for a client with new-onset atrial
fibrillation would be most important to communicate to the health care provider? -
✓✓Sudden vision change
• A client who has atrial fibrillation with rapid ventricular response is started on a
continuous heparin infusion. Which clinical finding enables the nurse to conclude that
the heparin therapy is effective? -✓✓An activated partial thromboplastin time (aPTT) is
twice the usual value.
• When treating clients for osteoporosis, which medication has a side effect of atrial
fibrillation when infused too quickly? -✓✓Zoledronic acid
• After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client
with chronic atrial fibrillation, which action would the nurse take next? -✓✓Take the
client's apical pulse for a full minut
• Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most
important to report quickly to the health care provider? -✓✓Right arm weakness
• When teaching a client with atrial fibrillation about a new prescription for warfarin, the
nurse will include information about which vitamin? -✓✓Vitamin K
• Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? -✓✓Take pulse apically for a full minute.
• Which action would the nurse include in the plan of care for a client who had an
ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation
therapy to prevent further strokes from occurring? Select all that apply. One, some, or
all responses may be correct. -✓✓Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
• Which client response must the nurse monitor to determine the effectiveness of
amiodarone? -✓✓Decrease in cardiac dysrhythmias
• The nurse provides discharge teaching to a client who has received prescriptions for
digoxin, furosemide, and a 2-g sodium diet. Which statement from the client indicates
,that further teaching is needed? -✓✓I can use a little table salt on my food as long as I
do not use it when cooking food.
• A 2-month-old infant with the diagnosis of heart failure is discharged with a
prescription for oral digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled
"0.05 mg/mL." Which item would the nurse teach the mother to use when administering
the medication? -✓✓Calibrated syringe
• An infant with congenital heart disease is prescribed digoxin and furosemide upon
discharge. Which sign would the nurse instruct the parents to be alert for? -✓✓Difficulty
feeding with vomiting
• A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5
mg twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer
type. Which instruction would the nurse include when teaching the client's spouse about
medication administration? -✓✓Prefill a weekly medication box with the medications for
the client to self-administe
• A client with congestive heart failure is receiving intravenous digoxin (Cardoxin)
therapy. The registered nurse identifies that which items on the client's care plan are
appropriate for a licensed practical nurse (LPN) to perform? Select all that apply. One,
some, or all responses may be correct. -✓✓Help the client ambulate when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
• The clinic nurse receives a call from the mother of an infant prescribed digoxin. The
mother reports she forgot whether she gave the morning dose of digoxin. Which
response by the nurse is most appropriate? -✓✓Skip this dose and give it at the next
prescribed time
• The nurse teaches the parents of a 4-year-old child about the administration of digoxin
elixir twice a day. Which statement indicates to the nurse the parents need further
teaching? -✓✓"We should give the digoxin twice a day, at breakfast and dinner
• Which lifestyle advice does the nurse give to a client when oral digoxin therapy is
initiated? Select all that apply. One, some, or all responses may be correct. -✓✓Bran
can decrease digoxin absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the blood.
Medications that lower serum potassium or magnesium can cause digoxin toxicity
• The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which
sign of digoxin toxicity would the nurse monitor for? -✓✓Vomiting
, • A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads
"Digoxin 0.125 mg/mL." What is the total amount of medication, in milligrams, the child
takes each day?____ mg -✓✓0.3
• According to developmental norms for a 5-year-old child, the nurse would hold digoxin
if an apical heart rate falls below which number? -✓✓70 beats/min
• A health care provider prescribes digoxin for a client. The nurse teaches the client to
be alert for which common early indication of acute digoxin toxicity? -✓✓Vomiting
• When teaching a client about digoxin, which symptom will the nurse include as a
reason to withhold the digoxin? -✓✓yellow vision
• Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? -✓✓Cardiac dysrhythmias
• A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? -✓✓"The medication may need to be
discontinued. Come to the clinic this afternoon."
• Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? -✓✓Increased contractile force of the myocardium
• A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify
as a risk factor for straining due to constipation? -✓✓Morphine
• 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? -✓✓Maintaining potassium levels
• Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The
nurse will monitor the client for signs and symptoms of which adverse effect? -
✓✓Myocardial depression
• The nurse is providing discharge medication teaching to a client who will be taking
furosemide and digoxin after discharge from the hospital. Which information is important
for the nurse to include in the teaching plan? -✓✓Signs and symptoms of digoxin toxicity
• When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which
nursing action is important to include when planning care? -✓✓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
