ACTUAL EXAM 200 QUESTIONS AND 100

NUR 242 Exam 3 LATEST UPDATE -

ACTUAL EXAM 200 QUESTIONS AND 100%

VERIFIED CORRECT ANSWERS GUARANTEED

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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? - CORRECT ANSWER: 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? - CORRECT

ANSWER: 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? - CORRECT ANSWER:

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. - CORRECT

ANSWER: 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? - CORRECT ANSWER: 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? - CORRECT ANSWER: 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 - CORRECT ANSWER: "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 action will best evaluate the effectiveness of the

furosemide in managing the client's condition? - CORRECT ANSWER: Auscultating

breath sounds

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A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? - CORRECT ANSWER: Resolution of heart failure

A client is receiving furosemide to relieve edema. The nurse will monitor the client for

which adverse effect? - CORRECT ANSWER: hypokalemia

A client is receiving furosemide to relieve edema. The nurse will monitor the client for which responses? Select all that apply. One, some, or all responses may be correct. -

CORRECT ANSWER: Weight loss

Excessive loss of potassium ions

A client is receiving furosemide. For which sign of hypokalemia will the nurse monitor

client? - CORRECT ANSWER: Muscle weakness

A client is taking furosemide. At each clinic visit, the nurse will assess for which adverse

effect? - CORRECT ANSWER: Hyporeflexia

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? - CORRECT ANSWER: Maintaining potassium levels

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? - CORRECT ANSWER: Maintaining potassium levels

A client was prescribed furosemide. The nurse would instruct the client to include which

food in the diet? - CORRECT ANSWER: Bananas

A client who has been admitted with pulmonary edema and received furosemide intravenously needs to void. Which action by the nurse would be best? - CORRECT

ANSWER: Assist the client to a bedside commode.

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? - CORRECT ANSWER: Morphine

A client who takes furosemide and digoxin reports to the nurse that everything looks yellow. Which response by the nurse is most appropriate? - CORRECT ANSWER: "I will hold the medication until I consult with your health care provider.

A client with a history of a congenital heart defect is admitted to the birthing unit in early labor. Which position would the nurse encourage the client to assume? - CORRECT

ANSWER: Semi-Fowler

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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. - CORRECT ANSWER: Help the client ambulate when

required.Monitor the client's vitals every 30 minutes Administer adequate oral fluids to the client

A client with heart failure is to receive digoxin. Which therapeutic effect is associated

with this medication? - CORRECT ANSWER: Slows and strengthens cardiac

contractions

A client with heart failure reports waking suddenly and feeling short of breath during the

night. How will the nurse document this information? - CORRECT ANSWER:

Paroxysmal nocturnal dyspnea

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 - CORRECT

ANSWER: 2700 ml

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? - CORRECT ANSWER:

Bradycardia

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. - CORRECT ANSWER: Diuresis

Decreased edema Decreased pulse rate

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? - CORRECT ANSWER: Prefill a weekly medication box with the medications for the client to self-administer."

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? - CORRECT

ANSWER: Vomiting

A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system? - CORRECT

ANSWER: Loop of Henle

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