NUR 242 Exam 2 () | Med-
Surg Nursing | (A+ Guarantee) | PDF
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
causes of acute MI - ANSWER CAD also known as hyperlipidemia, vasospasm
(cocaine use), others that decrease oxygen supply to heart such as HF, septic shock,
and diabetes.
angina pectoris - ANSWER chest pain that results when the heart does not get
enough oxygen
unstable angina - ANSWER chest pain that occurs while a person is at rest and not
exerting themself, not relieved by nitro
Stable angina - ANSWER chest pain that occurs when a person is active or under
severe stress, *IS* relieved by nitro
labs associated with acute MI - ANSWER EKG: ST elevation (sometimes)
CXR: decreased heart function
Echocardiography: shows wall motion and ejection fraction
Elevated troponin -> 1st will be negative, 2nd is usually elevated. Peaks around 24
hrs post MI
Surg Nursing | (A+ Guarantee) | PDF
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
causes of acute MI - ANSWER CAD also known as hyperlipidemia, vasospasm
(cocaine use), others that decrease oxygen supply to heart such as HF, septic shock,
and diabetes.
angina pectoris - ANSWER chest pain that results when the heart does not get
enough oxygen
unstable angina - ANSWER chest pain that occurs while a person is at rest and not
exerting themself, not relieved by nitro
Stable angina - ANSWER chest pain that occurs when a person is active or under
severe stress, *IS* relieved by nitro
labs associated with acute MI - ANSWER EKG: ST elevation (sometimes)
CXR: decreased heart function
Echocardiography: shows wall motion and ejection fraction
Elevated troponin -> 1st will be negative, 2nd is usually elevated. Peaks around 24
hrs post MI
