NUR 242 MED SURG EXAM 3 LATEST NEW EXAM 152
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
ALREADY GRADED A+ (GALEN COLLEGE OF NURSING)
An infant is born with a life-threatening congenital heart defect and is
admitted to the neonatal intensive care unit. Which is the priority
nursing intervention at this time? - ANS... -Assisting the parents with the
grieving process
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? - ANS... -Fluid retention
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? - ANS... -Potassium of 3.0 mEq/L (3.0 mmol/L)
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? - ANS... -Difficulty feeding with vomiting
An older client with a history of congestive heart failure expresses
concern about potential exposure to tuberculosis (TB) from his or her
roommate at the extended care facility. The roommate coughs a great
deal and sometimes spits up blood. Which is the primary reason that the
nurse pursues more information about the roommate? - ANS... -TB
adversely affects older adults with chronic illness
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? - ANS... -Myocardial depression
,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. -
ANS... -Nausea
Yellow vision
Irregular pulse
Digoxin is prescribed for a client. Which therapeutic effect of digoxin
would the nurse expect? - ANS... -Increased contractile force of the
myocardium
During the initial assessment of a newborn the nurse suspects a
congenital heart defect. Which clinical manifestations support this
suspicion? Select all that apply. One, some, or all responses may be
correct. - ANS... -Nasal flaring
Sternal retractions
Grunting respirations
For which clinical manifestations will the nurse monitor when caring for
a client admitted with heart failure? Select all that apply. One, some, or
all responses may be correct. - ANS... -Unusual fatigue
Dependent edema
Nocturnal dyspnea
Furosemide has been prescribed as part of the medical regimen for a
client with hypertension. Which client statement indicates a need for
medication education - ANS... -This can decrease my vitamin K level.
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? - ANS... -
Calibrated syringe
, A 78-year-old client who has hypertension is beginning treatment with
furosemide. Considering the client's age, which would the nurse teach
the client to do? - ANS... -Change positions slowly
A child with a congenital heart defect has a cardiac catheterization.
Which is an essential element of nursing care after this procedure? -
ANS... -Monitoring the extremity distal to the insertion site
A child with pulmonary edema is treated with opioids and furosemide.
Which nursing interventions would the nurse perform to promote safe
medication administration? Select all that apply. One, some, or all
responses may be correct. - ANS... -Following the principle of
atraumatic care
Administering oral drugs with food or snacks
Documenting the client's age, weight, and height
A client admitted for mitral valve surgery tells the nurse, "I am not
worried at all about the surgery!" Which response by the nurse is best? -
ANS... -I think you may still have questions about the surgery.
A client has been given a prescription for furosemide 40 mg every day in
conjunction with digoxin. Which concern would prompt the nurse to ask
the health care provider about potassium supplements? - ANS... -
Digoxin toxicity occurs rapidly in the presence of hypokalemia
A client has been receiving digoxin. The client calls the clinic and
complains of "yellow vision." Which response would the nurse provide -
ANS... -"The medication may need to be discontinued. Come to the
clinic this afternoon."
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
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
ALREADY GRADED A+ (GALEN COLLEGE OF NURSING)
An infant is born with a life-threatening congenital heart defect and is
admitted to the neonatal intensive care unit. Which is the priority
nursing intervention at this time? - ANS... -Assisting the parents with the
grieving process
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? - ANS... -Fluid retention
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? - ANS... -Potassium of 3.0 mEq/L (3.0 mmol/L)
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? - ANS... -Difficulty feeding with vomiting
An older client with a history of congestive heart failure expresses
concern about potential exposure to tuberculosis (TB) from his or her
roommate at the extended care facility. The roommate coughs a great
deal and sometimes spits up blood. Which is the primary reason that the
nurse pursues more information about the roommate? - ANS... -TB
adversely affects older adults with chronic illness
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? - ANS... -Myocardial depression
,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. -
ANS... -Nausea
Yellow vision
Irregular pulse
Digoxin is prescribed for a client. Which therapeutic effect of digoxin
would the nurse expect? - ANS... -Increased contractile force of the
myocardium
During the initial assessment of a newborn the nurse suspects a
congenital heart defect. Which clinical manifestations support this
suspicion? Select all that apply. One, some, or all responses may be
correct. - ANS... -Nasal flaring
Sternal retractions
Grunting respirations
For which clinical manifestations will the nurse monitor when caring for
a client admitted with heart failure? Select all that apply. One, some, or
all responses may be correct. - ANS... -Unusual fatigue
Dependent edema
Nocturnal dyspnea
Furosemide has been prescribed as part of the medical regimen for a
client with hypertension. Which client statement indicates a need for
medication education - ANS... -This can decrease my vitamin K level.
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? - ANS... -
Calibrated syringe
, A 78-year-old client who has hypertension is beginning treatment with
furosemide. Considering the client's age, which would the nurse teach
the client to do? - ANS... -Change positions slowly
A child with a congenital heart defect has a cardiac catheterization.
Which is an essential element of nursing care after this procedure? -
ANS... -Monitoring the extremity distal to the insertion site
A child with pulmonary edema is treated with opioids and furosemide.
Which nursing interventions would the nurse perform to promote safe
medication administration? Select all that apply. One, some, or all
responses may be correct. - ANS... -Following the principle of
atraumatic care
Administering oral drugs with food or snacks
Documenting the client's age, weight, and height
A client admitted for mitral valve surgery tells the nurse, "I am not
worried at all about the surgery!" Which response by the nurse is best? -
ANS... -I think you may still have questions about the surgery.
A client has been given a prescription for furosemide 40 mg every day in
conjunction with digoxin. Which concern would prompt the nurse to ask
the health care provider about potassium supplements? - ANS... -
Digoxin toxicity occurs rapidly in the presence of hypokalemia
A client has been receiving digoxin. The client calls the clinic and
complains of "yellow vision." Which response would the nurse provide -
ANS... -"The medication may need to be discontinued. Come to the
clinic this afternoon."
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
