NUR 242 Med Surg Exam 3 Question and
Answer | Latest Update Complete Exam
Prep with Accurate Solutions | Grade A+
• When the clinic nurse is teaching a group of clients with heart failure (HF) about
dietary interventions to prevent fluid overload, which topic will be included? -
✓✓Use of fresh or frozen vegetables instead of canned ones / low sodium
• Which action would the nurse take first when a client with heart failure has an
episode of paroxysmal nocturnal dyspnea (PND)? -✓✓Assist the client to sit on the
edge of the bed
• When caring for a client with a diagnosis of right ventricular heart failure, the
nurse expects which assessment findings? Select all that apply. One, some, or all
responses may be correct. -✓✓Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
• The nurse's physical assessment of a client with heart failure reveals tachypnea
and bilateral crackles. Which is the priority nursing intervention? -✓✓Place client
in a high-Fowler position.
• Which treatment would the nurse anticipate when caring for an infant with heart
failure? -✓✓Medications that are prescribed for both children and adults
• Which feeding education would the nurse provide the parent of a 2-month-old
infant with the diagnosis of heart failure? -✓✓Feed slowly while allowing time for
adequate periods of rest
,• Which assessment finding would indicate improvement in a 4-month-old infant
admitted to the pediatric unit with a diagnosis of congestive heart failure? -
✓✓Weight loss during next 2 days
• The parent of an infant with heart failure questions the necessity of weighing the
baby every morning. Which would the nurse say that this daily information is
important in determining? -✓✓fluid retention
• While auscultating the heart, a health care provider notices S 3 heart sounds in
four clients. Which client is at highest risk for heart failure? -✓✓Older adult client
• Which assessment finding is a late sign of heart failure? -✓✓Peripheral edema
• Heart failure develops in a 4-month-old infant with a congenital heart defect, and
the infant exhibits marked dyspnea at rest. Which assessment finding would the
nurse expect in this infant? -✓✓Bilateral crackles
• Which method would the nurse use to weigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning? -✓✓Placing the infant in an infant
seat, recording the weight, and then subtracting the weight of the seat
• Which early sign of heart failure would the nurse recognize in an infant who has
a congenital heart defect with left-to-right shunting of blood? -✓✓Increased
respiratory rate
• 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 a diagnosis of heart failure is being given furosemide twice a day.
Which laboratory value would the nurse report to the health care provider? -
✓✓Potassium of 3.0 mEq/L (3.0 mmol/L)
• 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 nurse taught a client with heart failure who is scheduled for discharge about
how medications, diet, and exercise improve activity tolerance. During a follow-up
visit, the nurse finds that the client has learned how to adapt his or her exercise
prescription to increase activity tolerance. Which theory did the nurse follow to
achieve this positive outcome? -✓✓Roy's theory
• Which intervention would the nurse use after observing that a 6-month-old child
lies quietly, rarely smiles or babbles, and has his basic needs barely met by the
primary caregiver, who is a grandparent with chronic heart failure? -✓✓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 -
✓✓2700 ml
Answer | Latest Update Complete Exam
Prep with Accurate Solutions | Grade A+
• When the clinic nurse is teaching a group of clients with heart failure (HF) about
dietary interventions to prevent fluid overload, which topic will be included? -
✓✓Use of fresh or frozen vegetables instead of canned ones / low sodium
• Which action would the nurse take first when a client with heart failure has an
episode of paroxysmal nocturnal dyspnea (PND)? -✓✓Assist the client to sit on the
edge of the bed
• When caring for a client with a diagnosis of right ventricular heart failure, the
nurse expects which assessment findings? Select all that apply. One, some, or all
responses may be correct. -✓✓Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
• The nurse's physical assessment of a client with heart failure reveals tachypnea
and bilateral crackles. Which is the priority nursing intervention? -✓✓Place client
in a high-Fowler position.
• Which treatment would the nurse anticipate when caring for an infant with heart
failure? -✓✓Medications that are prescribed for both children and adults
• Which feeding education would the nurse provide the parent of a 2-month-old
infant with the diagnosis of heart failure? -✓✓Feed slowly while allowing time for
adequate periods of rest
,• Which assessment finding would indicate improvement in a 4-month-old infant
admitted to the pediatric unit with a diagnosis of congestive heart failure? -
✓✓Weight loss during next 2 days
• The parent of an infant with heart failure questions the necessity of weighing the
baby every morning. Which would the nurse say that this daily information is
important in determining? -✓✓fluid retention
• While auscultating the heart, a health care provider notices S 3 heart sounds in
four clients. Which client is at highest risk for heart failure? -✓✓Older adult client
• Which assessment finding is a late sign of heart failure? -✓✓Peripheral edema
• Heart failure develops in a 4-month-old infant with a congenital heart defect, and
the infant exhibits marked dyspnea at rest. Which assessment finding would the
nurse expect in this infant? -✓✓Bilateral crackles
• Which method would the nurse use to weigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning? -✓✓Placing the infant in an infant
seat, recording the weight, and then subtracting the weight of the seat
• Which early sign of heart failure would the nurse recognize in an infant who has
a congenital heart defect with left-to-right shunting of blood? -✓✓Increased
respiratory rate
• 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 a diagnosis of heart failure is being given furosemide twice a day.
Which laboratory value would the nurse report to the health care provider? -
✓✓Potassium of 3.0 mEq/L (3.0 mmol/L)
• 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 nurse taught a client with heart failure who is scheduled for discharge about
how medications, diet, and exercise improve activity tolerance. During a follow-up
visit, the nurse finds that the client has learned how to adapt his or her exercise
prescription to increase activity tolerance. Which theory did the nurse follow to
achieve this positive outcome? -✓✓Roy's theory
• Which intervention would the nurse use after observing that a 6-month-old child
lies quietly, rarely smiles or babbles, and has his basic needs barely met by the
primary caregiver, who is a grandparent with chronic heart failure? -✓✓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 -
✓✓2700 ml
