SWIFT RIVER 2.0: JULIA MONROE
EXAM QUESTIONS AND ANSWERS
The nurse is reviewing the client's admission laboratory data: K+ 3.3 mEq, Na 140 mEq/L , Mg 2.1
mg/dL. The healthcare provider has provided the following prescriptions: 40 mg furosemide IV push
now, lisinopril 2.5 mg PO now, metoprolol 5mg IV push now, insert indwelling urinary catheter,
supplemental oxygen to keep SpO2< 94%. 36.9°C (98.4°F), pulse 118/min, respirations 28/min,
blood pressure 192/78 mm Hg and SpO2 of on 97% 4L NC. Urine output in the last hour: 35 cc. -
ANSWER -Request a prescription for a potassium supplement.
Request a prescription for a potassium supplement.
is correct:
The nurse should request a prescription for a potassium supplement. The client's potassium level is
below the expected reference range and will likely decrease further following the administration of
furosemide.
Two hours after the administration of IV furosemide, the nurse assesses the client.
Which of the following findings indicates that the furosemide was therapeutic? (Select all that apply.)
- ANSWER -BP 158/62 mm Hg
Urine output of 575 cc
Two days after admission the client is ready to be discharged home and the nurse is preparing their
discharge teaching.
Which of the following information should the nurse include? (Select all that apply.) - ANSWER -
Avoid the use of NSAIDS.
Follow a 3g sodium diet.
Julia Monroe
Diagnosis: heart failure
DOB: 2/10/1950
MRN: 64911090
Room: 111
Julia Monroe is a 74-year-old client who is being directly admitted from their primary care provider's
office. Julia presented to the office today reporting increased dyspnea with excretion. The client also
reports fatigue, dizziness, and palpitations. The 12-lead echocardiogram that was performed in the
clinic showed new onset atrial fibrillation and is also tachypneic. The client has a history of
hypertension and hypothyroidism. The client's provider suspects that Julia is experiencing heart
failure and would like them admitted for further treatment.
EXAM QUESTIONS AND ANSWERS
The nurse is reviewing the client's admission laboratory data: K+ 3.3 mEq, Na 140 mEq/L , Mg 2.1
mg/dL. The healthcare provider has provided the following prescriptions: 40 mg furosemide IV push
now, lisinopril 2.5 mg PO now, metoprolol 5mg IV push now, insert indwelling urinary catheter,
supplemental oxygen to keep SpO2< 94%. 36.9°C (98.4°F), pulse 118/min, respirations 28/min,
blood pressure 192/78 mm Hg and SpO2 of on 97% 4L NC. Urine output in the last hour: 35 cc. -
ANSWER -Request a prescription for a potassium supplement.
Request a prescription for a potassium supplement.
is correct:
The nurse should request a prescription for a potassium supplement. The client's potassium level is
below the expected reference range and will likely decrease further following the administration of
furosemide.
Two hours after the administration of IV furosemide, the nurse assesses the client.
Which of the following findings indicates that the furosemide was therapeutic? (Select all that apply.)
- ANSWER -BP 158/62 mm Hg
Urine output of 575 cc
Two days after admission the client is ready to be discharged home and the nurse is preparing their
discharge teaching.
Which of the following information should the nurse include? (Select all that apply.) - ANSWER -
Avoid the use of NSAIDS.
Follow a 3g sodium diet.
Julia Monroe
Diagnosis: heart failure
DOB: 2/10/1950
MRN: 64911090
Room: 111
Julia Monroe is a 74-year-old client who is being directly admitted from their primary care provider's
office. Julia presented to the office today reporting increased dyspnea with excretion. The client also
reports fatigue, dizziness, and palpitations. The 12-lead echocardiogram that was performed in the
clinic showed new onset atrial fibrillation and is also tachypneic. The client has a history of
hypertension and hypothyroidism. The client's provider suspects that Julia is experiencing heart
failure and would like them admitted for further treatment.
