NUR 242
NUR 242 EXAM 3 QUESTIONS AND ANSWERS
An older client with a history of congestive heart failure
expresses concern about potential exposure to
tuberculosis (TB) from his or her roommate at the
extended care facility. The roommate coughs a great deal
and sometimes spits up blood. Which is the primary
reason that the nurse pursues more information about
the roommate? - correct answer TB adversely affects older
adults with chronic illness
When the clinic nurse is teaching a group of clients with
heart failure (HF) about dietary interventions to prevent
fluid overload, which topic will be included? - correct answer
Use of fresh or frozen vegetables instead of canned ones
/ low sodium
,NUR 242
Which action would the nurse take first when a client
with heart failure has an episode of paroxysmal nocturnal
dyspnea (PND)? - correct answer Assist the client to sit on the
edge of the bed
When caring for a client with a diagnosis of right
ventricular heart failure, the nurse expects which
assessment findings? Select all that apply. One, some, or
all responses may be correct. - correct answer Dependent
edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart
failure reveals tachypnea and bilateral crackles. Which is
the priority nursing intervention? - correct answer Place client
in a high-Fowler position.
,NUR 242
Which treatment would the nurse anticipate when caring
for an infant with heart failure? - correct answer Medications
that are prescribed for both children and adults
Which feeding education would the nurse provide the
parent of a 2-month-old infant with the diagnosis of
heart failure? - correct answer Feed slowly while allowing time
for adequate periods of rest
Which assessment finding would indicate improvement
in a 4-month-old infant admitted to the pediatric unit
with a diagnosis of congestive heart failure? - correct answer
Weight loss during next 2 days
The parent of an infant with heart failure questions the
necessity of weighing the baby every morning. Which
would the nurse say that this daily information is
important in determining? - correct answer fluid retention
While auscultating the heart, a health care provider
notices S 3 heart sounds in four clients. Which client is at
, NUR 242
highest risk for heart failure? - correct answer Older adult
client
Which assessment finding is a late sign of heart failure? -
correct answer Peripheral edema
Heart failure develops in a 4-month-old infant with a
congenital heart defect, and the infant exhibits marked
dyspnea at rest. Which assessment finding would the
nurse expect in this infant? - correct answer Bilateral crackles
Which method would the nurse use to weigh a 2-month-
old in heart failure with practitioner orders for semi-
Fowler positioning? - correct answer Placing the infant in an
infant seat, recording the weight, and then subtracting
the weight of the seat
Which early sign of heart failure would the nurse
recognize in an infant who has a congenital heart defect
with left-to-right shunting of blood? - correct answer
Increased respiratory rate
NUR 242 EXAM 3 QUESTIONS AND ANSWERS
An older client with a history of congestive heart failure
expresses concern about potential exposure to
tuberculosis (TB) from his or her roommate at the
extended care facility. The roommate coughs a great deal
and sometimes spits up blood. Which is the primary
reason that the nurse pursues more information about
the roommate? - correct answer TB adversely affects older
adults with chronic illness
When the clinic nurse is teaching a group of clients with
heart failure (HF) about dietary interventions to prevent
fluid overload, which topic will be included? - correct answer
Use of fresh or frozen vegetables instead of canned ones
/ low sodium
,NUR 242
Which action would the nurse take first when a client
with heart failure has an episode of paroxysmal nocturnal
dyspnea (PND)? - correct answer Assist the client to sit on the
edge of the bed
When caring for a client with a diagnosis of right
ventricular heart failure, the nurse expects which
assessment findings? Select all that apply. One, some, or
all responses may be correct. - correct answer Dependent
edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart
failure reveals tachypnea and bilateral crackles. Which is
the priority nursing intervention? - correct answer Place client
in a high-Fowler position.
,NUR 242
Which treatment would the nurse anticipate when caring
for an infant with heart failure? - correct answer Medications
that are prescribed for both children and adults
Which feeding education would the nurse provide the
parent of a 2-month-old infant with the diagnosis of
heart failure? - correct answer Feed slowly while allowing time
for adequate periods of rest
Which assessment finding would indicate improvement
in a 4-month-old infant admitted to the pediatric unit
with a diagnosis of congestive heart failure? - correct answer
Weight loss during next 2 days
The parent of an infant with heart failure questions the
necessity of weighing the baby every morning. Which
would the nurse say that this daily information is
important in determining? - correct answer fluid retention
While auscultating the heart, a health care provider
notices S 3 heart sounds in four clients. Which client is at
, NUR 242
highest risk for heart failure? - correct answer Older adult
client
Which assessment finding is a late sign of heart failure? -
correct answer Peripheral edema
Heart failure develops in a 4-month-old infant with a
congenital heart defect, and the infant exhibits marked
dyspnea at rest. Which assessment finding would the
nurse expect in this infant? - correct answer Bilateral crackles
Which method would the nurse use to weigh a 2-month-
old in heart failure with practitioner orders for semi-
Fowler positioning? - correct answer Placing the infant in an
infant seat, recording the weight, and then subtracting
the weight of the seat
Which early sign of heart failure would the nurse
recognize in an infant who has a congenital heart defect
with left-to-right shunting of blood? - correct answer
Increased respiratory rate
