NUR 242 Exam 2 Questions and Correct Answers
With Complete Solution 2024, 192 Questions and
Answers.
Which action by the nurse is most important when preparing for cardioversion of
a client with atrial fibrillation?
Set synchronizer switch on defibrillator to the "on" position
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 is therapeutically effective? Select all that apply. One, some, or
all responses may be correct.
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?
With Complete Solution 2024, 192 Questions and
Answers.
Which action by the nurse is most important when preparing for cardioversion of
a client with atrial fibrillation?
Set synchronizer switch on defibrillator to the "on" position
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 is therapeutically effective? Select all that apply. One, some, or
all responses may be correct.
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?
