NUR242 EXAM 3: NEWEST REAL VERSION2024 -2025/ NUR 242 (LATEST 2024) MEDICAL -SURGICAL NURSING EXAM | QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES| 100% CORRECT| GRADE A GALEN COLLEGE When teaching a client with heart failure about signs and symptoms that indicate a need to contact the primary health care provider, which clinical manifestations would the nurse in clude? Select all that apply. One, some, or all responses may be correct. - correct answer ✔✔Extreme fatigue Coughing at night Difficulty breathing Which medication prescribed for a client with an acute episode of heart failure would the nurse question? - correct answer ✔✔Beta blocker When caring for a client who was admitted with heart failure, which action by the nurse will be most effective in determining whether the client's fluid overload is improving? - correct answer ✔✔Weighing the client Which state ment by a client is consistent with a diagnosis of heart failure? - correct answer ✔✔"I have trouble breathing when I climb a flight of stairs. Which finding would the nurse expect when caring for a client with right -
sided heart failure? - correct answer ✔✔Distended neck veins When the primary health care provider prescribes "bathroom privileges only" for a client with an exacerbation of heart failure, the client becomes irritable and asks why bed rest is needed. Which response by the nurse is best? - corre ct answer ✔✔Rest reduces the amount of work your heart has to do right now." 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. - correct answer ✔✔Unusual fatigue Dependent edema Nocturnal dyspnea When a client with heart failure is to be discharged and tells the nurse that there are no family members who can help with care at home, which action would the nurse take first? - correct answer ✔✔Question the client about current support systems Which in formation about a client who has heart failure would the nurse communicate to the health care provider before administration of the prescribed digoxin? - correct answer ✔✔Potassium level of 2.3 mEq/L (2.3 mmol/L) Which suggestion would the nurse make for a client with heart failure? - correct answer ✔✔Avoid emotionally stressful situations Which would the nurse do to help alleviate the distress of a client with heart failure and pulmonary edema? - correct answer ✔✔Place the client in the orthopneic position The nurse is caring for a client who is admitted to the hospital for medical management of heart failure and severe peripheral edema. Which clinical indicator associated with unresolved severe peripheral edema would the nurse initially assess? - correct a nswer✔✔Tissue ischemia The heartbeat assessment of four clients is given below. Which client is at an increased risk for right -sided heart failure? - correct answer✔✔Bilateral pressures higher than 2.5 cm are considered elevated and are a sign of right -sided heart failure. Client A has both right and left jugular venous pressure above 2.5 cm. This client is at risk for right -sided heart failure. One -sided pressure elevation is caused by obstruction, as observed in clients B, C, and D. A neonate with hear t failure is prescribed furosemide. Which changes to the dosage or time intervals between doses would the nurse make? - correct answer ✔✔The time between doses should be lengthened Which nursing interventions promote safe administration of digoxin in a child diagnosed with heart failure? Select all that apply. One, some, or all responses may be correct. - correct answer ✔✔Checking for compliance with the client's medication regimen Monitoring the client's serum potassium and magnesium levels regularly Calcul ating the correct dosage form, prescribed amounts, and the prescriber's prescription Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and respiration rate regularly Which education would the nurse teach th e parents of an infant with a cardiac defect about an early sign of heart failure? - correct answer✔✔Increased heart rate When assessing a client with heart failure for activity tolerance, which activity would the nurse expect to cause the most distress f or the client? - correct answer ✔✔Climbing a flight of stairs to the bedroom Which diet choices by a client who has heart failure indicate that the nurse's teaching about diet has been effective? Select all that apply. One, some, or all responses may be co rrect. - correct answer ✔✔Low sodium - Lean steak Fruit salad Broiled chicken Roasted potatoes When caring for an older client who has had multiple recent hospital admissions for heart failure, which action would the nurse take first? - correct answer ✔✔Ask the client about medication use and activity level at home Which assessment findings are cons istent with a client diagnosis of right -
sided heart failure? Select all that apply. One, some, or all responses may be correct. - correct answer ✔✔Distended abdomen Dependent edema Decreased appetite Which explanation would the nurse include when teaching a client with heart failure about the reason for a low -sodium diet? - correct answer✔✔Fluid retention
sided heart failure? - correct answer ✔✔Distended neck veins When the primary health care provider prescribes "bathroom privileges only" for a client with an exacerbation of heart failure, the client becomes irritable and asks why bed rest is needed. Which response by the nurse is best? - corre ct answer ✔✔Rest reduces the amount of work your heart has to do right now." 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. - correct answer ✔✔Unusual fatigue Dependent edema Nocturnal dyspnea When a client with heart failure is to be discharged and tells the nurse that there are no family members who can help with care at home, which action would the nurse take first? - correct answer ✔✔Question the client about current support systems Which in formation about a client who has heart failure would the nurse communicate to the health care provider before administration of the prescribed digoxin? - correct answer ✔✔Potassium level of 2.3 mEq/L (2.3 mmol/L) Which suggestion would the nurse make for a client with heart failure? - correct answer ✔✔Avoid emotionally stressful situations Which would the nurse do to help alleviate the distress of a client with heart failure and pulmonary edema? - correct answer ✔✔Place the client in the orthopneic position The nurse is caring for a client who is admitted to the hospital for medical management of heart failure and severe peripheral edema. Which clinical indicator associated with unresolved severe peripheral edema would the nurse initially assess? - correct a nswer✔✔Tissue ischemia The heartbeat assessment of four clients is given below. Which client is at an increased risk for right -sided heart failure? - correct answer✔✔Bilateral pressures higher than 2.5 cm are considered elevated and are a sign of right -sided heart failure. Client A has both right and left jugular venous pressure above 2.5 cm. This client is at risk for right -sided heart failure. One -sided pressure elevation is caused by obstruction, as observed in clients B, C, and D. A neonate with hear t failure is prescribed furosemide. Which changes to the dosage or time intervals between doses would the nurse make? - correct answer ✔✔The time between doses should be lengthened Which nursing interventions promote safe administration of digoxin in a child diagnosed with heart failure? Select all that apply. One, some, or all responses may be correct. - correct answer ✔✔Checking for compliance with the client's medication regimen Monitoring the client's serum potassium and magnesium levels regularly Calcul ating the correct dosage form, prescribed amounts, and the prescriber's prescription Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and respiration rate regularly Which education would the nurse teach th e parents of an infant with a cardiac defect about an early sign of heart failure? - correct answer✔✔Increased heart rate When assessing a client with heart failure for activity tolerance, which activity would the nurse expect to cause the most distress f or the client? - correct answer ✔✔Climbing a flight of stairs to the bedroom Which diet choices by a client who has heart failure indicate that the nurse's teaching about diet has been effective? Select all that apply. One, some, or all responses may be co rrect. - correct answer ✔✔Low sodium - Lean steak Fruit salad Broiled chicken Roasted potatoes When caring for an older client who has had multiple recent hospital admissions for heart failure, which action would the nurse take first? - correct answer ✔✔Ask the client about medication use and activity level at home Which assessment findings are cons istent with a client diagnosis of right -
sided heart failure? Select all that apply. One, some, or all responses may be correct. - correct answer ✔✔Distended abdomen Dependent edema Decreased appetite Which explanation would the nurse include when teaching a client with heart failure about the reason for a low -sodium diet? - correct answer✔✔Fluid retention
