NUR 242 Exam 2 Comprehensive Exam Questions And All Complete Answers.
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NUR 242
Which action by the nurse is most important when preparing for cardioversion of a client with atrial fibrillation? - 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 ...
NUR 242 Exam 2 Comprehensive Exam
Questions And All Complete Answers.
Which action by the nurse is most important when preparing for cardioversion of a client with atrial
fibrillation? - 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? - 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? -
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? - 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? - 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? - 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? - Answer Vitamin K
Which action is essential for the nurse to include in the plan of care for a client with atrial fibrillation? -
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. - 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? - 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? -
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? - 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? - 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? - 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. - 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?
- 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? - 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. - 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? - 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 - 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? - 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? - Answer Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the
digoxin? - Answer yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity? - 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? - Answer "The medication may need to be discontinued. Come to
the clinic this afternoon."
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