UNFOLDING REASONING CASE
STUDY HEART FAILURE JOANN
SMITH 72 YEARS FINAL PAPER
QUESTIONS CORRECT ANSWERS
GRADED
⩥ Which assessment finding provides the earliest indication that the
client is experiencing digoxin toxicity? Answer: Anorexia, nausea, and
vomiting.
⩥ After treatment with digoxin immune FAB, which of the client's
serum laboratory values requires intervention by the nurse? Answer:
Potassium 3.2 mEq/L (3.2 mmol/L).
⩥ Which member of the nursing staff would be best assigned to the
client while they are receiving treatment for his digoxin toxicity?
Answer: An experienced critical care RN who has been assigned to
"float" on the unit.
⩥ While applying supplemental oxygen, which intervention is priority
for the nurse to initiate? Answer: Position patient upright unless
contraindicated and give O2 by nasal cannula or non-rebreather mask.
, ⩥ How would this reading be interpreted by the nurse? Answer:
Respiratory acidosis (Respiratory acidosis is diagnosed with the PaCO2
is high and the pH is low.)
⩥ The client's daughter and the nurse should utilize which source during
this decision-making process? Answer: The client's documented wishes
for life-saving measures.
⩥ If the client had not provided an advance directive, who should be
consulted next, with regard to helping the daughter make the best
decision regarding the client's care? (Select all that apply. One, some, or
all options may be correct.) Answer: - Social worker
- Clergy person
- Healthcare providers
- The client's extended family
⩥ The best nursing action in response to this decision would be to?
Answer: Notify the HCP of the daughter's wishes.
⩥ The nurse's best response in this situation would be what? Answer:
"You are going through a very difficult time."
⩥ Choose the best nursing action to implement in response to the
daughter's behavior. Answer: Stay seated next to the daughter and
remain quietly attentive.
STUDY HEART FAILURE JOANN
SMITH 72 YEARS FINAL PAPER
QUESTIONS CORRECT ANSWERS
GRADED
⩥ Which assessment finding provides the earliest indication that the
client is experiencing digoxin toxicity? Answer: Anorexia, nausea, and
vomiting.
⩥ After treatment with digoxin immune FAB, which of the client's
serum laboratory values requires intervention by the nurse? Answer:
Potassium 3.2 mEq/L (3.2 mmol/L).
⩥ Which member of the nursing staff would be best assigned to the
client while they are receiving treatment for his digoxin toxicity?
Answer: An experienced critical care RN who has been assigned to
"float" on the unit.
⩥ While applying supplemental oxygen, which intervention is priority
for the nurse to initiate? Answer: Position patient upright unless
contraindicated and give O2 by nasal cannula or non-rebreather mask.
, ⩥ How would this reading be interpreted by the nurse? Answer:
Respiratory acidosis (Respiratory acidosis is diagnosed with the PaCO2
is high and the pH is low.)
⩥ The client's daughter and the nurse should utilize which source during
this decision-making process? Answer: The client's documented wishes
for life-saving measures.
⩥ If the client had not provided an advance directive, who should be
consulted next, with regard to helping the daughter make the best
decision regarding the client's care? (Select all that apply. One, some, or
all options may be correct.) Answer: - Social worker
- Clergy person
- Healthcare providers
- The client's extended family
⩥ The best nursing action in response to this decision would be to?
Answer: Notify the HCP of the daughter's wishes.
⩥ The nurse's best response in this situation would be what? Answer:
"You are going through a very difficult time."
⩥ Choose the best nursing action to implement in response to the
daughter's behavior. Answer: Stay seated next to the daughter and
remain quietly attentive.
