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NUR 242 EXAM 2 2025 (NEWEST EXAM) | QUESTIONS
AND CORRECT ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS
The spouse of a client who has been newly diagnosed with angina tells the nurse, "I guess I'm going to have to cook 2 meals, one for my spouse and one for myself." Which response would the nurse make? ---------CORRECT ANSWER-----------------A heart-healthy diet includes foods that most people would enjoy eating. Which finding in a client with a diagnosis of stable angina is most important for the nurse to communicate to the health care provider? --------- CORRECT ANSWER-----------------Angina episodes are occurring more frequently Which instruction would the nurse include when teaching the client about sublingual nitroglycerin? ---------CORRECT ANSWER-----------------Common side effects include headache and low blood pressure A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin would the nurse anticipate giving initially? ---------CORRECT ANSWER-----------------Sublingual spray The nurse has administered sublingual nitroglycerin. Which outcome would the nurse use to determine the effectiveness of sublingual nitroglycerin? ---- -----CORRECT ANSWER-----------------Relief of anginal pain
Which instructions will the nurse give a client for whom nitroglycerin tablets are prescribed? ---------CORRECT ANSWER-----------------Ensure that the medication is stored in its original dark container A client is discharged with a prescription for sustained-release nitroglycerin. Which information will the nurse provide to the client? ---------CORRECT ANSWER-----------------Swallow the capsule whole Which client statement indicates understanding of the side effects of nitroglycerin ointment? ---------CORRECT ANSWER-----------------"I may experience a headache." The nurse is preparing to apply nitroglycerin ointment. Before applying the ointment, which action will the nurse take? ---------CORRECT ANSWER----- ------------Use the dose measuring application paper and spread the ointment in a thin layer to the prescribed amount. Which information would be included in the discharge planning for a client who has had a new permanent pacemaker implanted above the left clavicle? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER-----------------Take your pulse daily and report changes to the health care provider. Notify the health care provider about swelling or drainage at the incision. Inform airport security about the presence of a pacemaker if you are traveling. Which finding in a client who has just been admitted indicates that the nurse will anticipate assisting with insertion of a temporary pacemaker? ---- -----CORRECT ANSWER-----------------Third degree heart block
the fluid no longer fluctuates. Which action would the nurse take? --------- CORRECT ANSWER-----------------Assess for obstructions in the chest tube Which information would the nurse include when teaching a client with coronary artery disease about aspirin therapy? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER--------- --------Take aspirin with food. Report ringing in the ears. Monitor and report excessive bleeding and bruising. Avoid over-the-counter pain medications that contain aspirin. When caring for an older adult with coronary artery disease, which modification in the plan of care would the nurse make because of the client's age? ---------CORRECT ANSWER-----------------Assess for less common anginal symptoms like shortness of breath and gastric discomfort. When teaching a group of female clients about clinical manifestations of coronary artery disease that are more common in women, which symptoms would the nurse include? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER-----------------Dyspnea Indigestion Unusual fatigue Which action would the nurse take to decrease a client's risk for sensory and cognitive disturbances after coronary artery bypass surgery? --------- CORRECT ANSWER-----------------Plan to minimize interruption of sleep at night When the nurse is caring for a client who has just arrived in the intensive care unit after coronary artery bypass graft surgery, which finding would be
of most concern? ---------CORRECT ANSWER-----------------Atrial fibrillation, rate 112 beats/minut When a client who is scheduled to have coronary artery bypass graft surgery asks the nurse what benefit can be expected from the surgery, which response would the nurse make? ---------CORRECT ANSWER-------- ---------This surgery significantly decreases symptoms in most clients A client with coronary artery disease and a recent diagnosis of venous thrombosis calls the outpatient clinic to report sudden onset of shortness of breath. Which action by the nurse is best? ---------CORRECT ANSWER----- ------------Suggest that the client call 911 After the nurse teaches a client with coronary artery disease about healthy food choices, which dietary choices by the client indicate that the teaching was effective? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER-----------------Olive oil Whole-grain bread Vegetables and fruits When discharging a client who has had insertion of a coronary artery stent, the nurse will instruct the client to seek immediate medical attention for which signs and symptoms? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER----------------- Unexplainable profuse diaphoresis Indigestion not relieved by antacids Fatigue the day after a rigorous walk Acute chest pain after rigorous exercise Continued chest pain after nitroglycerin use
ANSWER-----------------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? ---------CORRECT ANSWER--- --------------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? ---------CORRECT ANSWER-----------------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? --- ------CORRECT ANSWER-----------------Right arm weakness When teaching a client with atrial fibrillation about a new prescription for warfarin, the nurse will include information about which vitamin? --------- CORRECT ANSWER-----------------Vitamin K Which action is essential for the nurse to include in the plan of care for a client with atrial fibrillation? ---------CORRECT ANSWER-----------------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. ---------CORRECT ANSWER-----------------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? ---------CORRECT ANSWER----------------- 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? --------- CORRECT ANSWER-----------------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? ---------CORRECT ANSWER------------- ----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? ---------CORRECT ANSWER-----------------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
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? --------- CORRECT ANSWER-----------------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 ---------CORRECT ANSWER-----------------0. According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number? --------- CORRECT ANSWER-----------------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? ---------CORRECT ANSWER-----------------Vomiting When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin? ---------CORRECT ANSWER------------- ----yellow vision Which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity? ---------CORRECT ANSWER----------------- Cardiac dysrhythmias
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." Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect? ---------CORRECT ANSWER-----------------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? --- ------CORRECT ANSWER-----------------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? --------- CORRECT ANSWER-----------------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? ---------CORRECT ANSWER-----------------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? --------
- CORRECT ANSWER-----------------Signs and symptoms of digoxin toxicity
Which advice will the nurse include when teaching a client about digoxin for left ventricular failure? ---------CORRECT ANSWER-----------------Report increasing fatigue Which assessment finding for a client with heart failure who is taking digoxin will be most important to communicate to the health care provider? ---------CORRECT ANSWER-----------------Premature ventricular contractions 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 with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication? ---------CORRECT ANSWER----------------- Slows and strengthens cardiac contractions Which assessment will the nurse conduct before administering digoxin to a client? ---------CORRECT ANSWER-----------------Apical heart rate 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. ---------CORRECT ANSWER-----------------Nausea Yellow vision Irregular pulse
A client is to receive 0.25 mg of digoxin intramuscularly. The ampule is labeled 0.5 mg = 2 mL. How many milliliters will the nurse administer?___ mL ---------CORRECT ANSWER-----------------1 ml Which nursing interventions are important when caring for clients receiving intravenous (IV) digoxin? Select all that apply. One, some, or all responses may be correct. ---------CORRECT ANSWER-----------------Monitor the heart rate closely Check the blood levels of digoxin Monitor the serum potassium level. 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." The nurse preceptor is evaluating the nurse who is preparing to administer digoxin intravenously (IV) to a client. Which intervention by the nurse would require the preceptor to stop the nurse? - --------CORRECT ANSWER-------- ---------Piggybacking the digoxin in an existing infusion A preterm infant is started on digoxin and furosemide for persistent patent ductus arteriosus. Which nursing assessment provides the best indication of the effectiveness of the furosemide? ---------CORRECT ANSWER---------- -------Urine output exceeds fluid intake Which topics would be included when teaching a client with heart failure who will be discharged with a new prescription for digoxin? Select all that
A health care provider prescribes an initial loading dose of 75 mcg of oral digoxin for a child. The medication is supplied as an elixir, 50 mcg/mL. How many milliliters of solution would the nurse administer?___ mL --------- CORRECT ANSWER-----------------1.5 ml Which action would the nurse take when assessing an infant on digoxin who has an apical pulse of 88 beats per minute? ---------CORRECT ANSWER-----------------Notify the health care provider immediately An antidysrhythmic needs to be administered intravenously (IV) at 1000 mcg/min. The medication is available as 500 mg in 500 mL of DW. The nurse will set the volume control device to administer the medication at how many milliliters per hour?___ mL/h ---------CORRECT ANSWER--------------- --60 ml After the nurse has presented a staff education session on the use of adenosine for supraventricular tachycardia, which statement by a staff member indicates that the teaching has been effective? ---------CORRECT ANSWER-----------------We will need a crash cart available at the client's bedside. A client's cardiac monitor indicates ventricular tachycardia. The nurse assesses the client and identifies an increase in apical pulse rate from 100 to 150 beats/minute. Which action is indicated? ---------CORRECT ANSWER-----------------Administer amiodarone A client who had a myocardial infarction has runs of ventricular tachycardia. Which medication will the nurse prepare to administer? ---------CORRECT ANSWER-----------------Amiodarone
A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective? ---------CORRECT ANSWER-------- ---------Heart rate of 98 beats/minute A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively? ---------CORRECT ANSWER-----------------decreased heart rate The cardiac monitor reveals several runs of ventricular tachycardia. Which medication is used to treat this dysrhythmia? ---------CORRECT ANSWER-- ---------------Amiodarone When a client has supraventricular tachycardia that has persisted despite treatment with vagal maneuvers and medications, which collaborative intervention will the nurse anticipate to treat the dysrhythmia? --------- CORRECT ANSWER-----------------Synchronized cardioversion When a client in the coronary care unit develops ventricular tachycardia, which action will the nurse take first? ---------CORRECT ANSWER------------
- ----Assess client pulse and blood pressure A client who has paroxysmal supraventricular tachycardia reports a mild "fluttering feeling" in the chest and has a blood pressure of 110/55 mm Hg. Which potential treatment by the health care provider would the nurse question? ---------CORRECT ANSWER-----------------Synchronized cardioversion
take first? ---------CORRECT ANSWER-----------------Ask the client about use of caffeine or stimulant drugs When caring for a client with acute coronary syndrome who has frequent premature ventricular complexes (PVCs), the nurse will be most concerned about PVCs occurring in which phase of the cardiac cycle? --------- CORRECT ANSWER-----------------T wave A client's cardiac monitor indicates multiple multifocal premature ventricular complexes (PVCs). Which medication is indicated for treatment of ventricular dysrhythmias? ---------CORRECT ANSWER----------------- Amiodarone The nurse is analyzing the client's rhythm when the nurse notes multiple premature ventricular contractions (PVCs). Each PVC occurs in no particular pattern and looks like all other PVCs. How will the nurse interpret this finding? ---------CORRECT ANSWER-----------------Unifocal When assisting with cardioversion, which action will the nurse take before delivering the prescribed shock? ---------CORRECT ANSWER----------------- Shout "clear" to all persons at the bedside Which certification would the emergency nursing staff member possess to perform defibrillation or cardioversion and special resuscitation for clients who sustained injuries in a tsunami? ---------CORRECT ANSWER------------- ----Advanced Cardiac Life Support (ACLS)
Which diagnostic test is most important to obtain rapidly when caring for a client who has just arrived in the emergency department with possible acute coronary syndrome (ACS)? ---------CORRECT ANSWER----------------- 12 - lead electrocardiogram (ECG) Which laboratory value will be most important for the nurse to monitor to determine whether a client with chest pain has acute coronary syndrome (ACS)? ---------CORRECT ANSWER-----------------Troponin T (cTnT) A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction? --------- CORRECT ANSWER-----------------Aspirin To determine whether a client is experiencing acute coronary syndrome (ACS), which component of the electrocardiogram would the nurse analyze? ---------CORRECT ANSWER-----------------ST segment Which physiological response explains why elevation in body temperature occurs in clients who experience acute coronary syndrome? --------- CORRECT ANSWER-----------------Inflammatory response Which finding for a client with acute coronary syndrome who is walking in the hallway will be most important to communicate to the health care provider? ---------CORRECT ANSWER-----------------Blood pressure drops from 130/72 mm Hg to 122/60 mm Hg with ambulation
