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NUR 242 Exam 2 Galen College Of Nursing -Question and answer verified to pass

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NUR 242 Exam 2 Galen College Of Nursing -Question and answer verified to pass NUR 242 Exam 1 ADPIE - Nursing Process - correct answer Assessment, Diagnosis, Plan, Intervention, Evaluation World Health Organization definition of health - correct answer Health is a state of complete phys...

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  • October 22, 2024
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  • 2024/2025
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NUR 242 Exam 2
Which action by the nurse is most important when preparing for cardioversion
of a client with atrial fibrillation? - correct answer ✔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? - correct answer ✔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? - correct 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
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-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. -
correct answer ✔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? - correct answer
✔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? - correct answer ✔"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. - correct answer ✔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? - 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 ✔0.3


According to developmental norms for a 5-year-old child, the nurse would hold
digoxin if an apical heart rate falls below which number? - 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

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