HEART FAILURE NCLEX EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) 2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Terms in this set (18)
A client with congestive Checking apical pulse before administering medication.
heart failure, CHF, is
prescribed digoxin Monitor serum electrolytes.
(Lanoxin) and furosemide
(Lasix). Nursing
interventions will include: Rationale: Digoxin is a cardiac glycoside. which can slow
(Select all that apply.) heart rate, and an apical heart rate is checked prior to
administration. Lasix is a loop diuretic used in treatment
Encourage intake of water of CHF, which promotes not only water loss, but also
and fruit juices. loss of electrolytes. A low potassium level increases risk
Restrict intake of green, of digoxin toxicity. Fluids are often restricted with CHF. H
leafy vegetables. and H level do not need to be checked, and green, leafy
Checking apical pulse vegetables would not need to be restricted.
before administering
medication.
Monitor hemoglobin and
hematocrit levels.
Monitor serum electrolytes.
, The client is prescribed "This drug will help my heart muscle pump less."
digoxin (Lanoxin) for
treatment of HR. Which of Rationale: The ability to increase the strength of
the following statements by contractions is a characteristic of cardiac glycosides. It
the client indicates the may result in a decrease in pulse. Initially the client may
need for further teaching by experience some fatigue. Symptoms of CHF, such as
the nurse? dyspnea, should improve.
"I should not get short of
breath anymore."
"This drug will help my
heart muscle pump less."
"I may notice my heart rate
decrease."
"I may feel tired during
early treatment."
The nurse reviews lab Serum potassium level of 3.0 mEq/L.
studies of a client receiving
digoxin (Lanoxin). Rationale: Normal serum potassium level is 3.5-5.0
Intervention by the nurse is mEq/L. Hypokalemia may predispose the client to
required if the results digitalis toxicity. The other lab values are WNL.
include a
Serum sodium level of 140
mEq/L.
Serum digoxin level of 1.2
ng/dL.
Serum potassium level of
3.0 mEq/L.
Hemoglobin 14.4 g/dL.
VERSIONS (VERSION A, B AND C) 2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Terms in this set (18)
A client with congestive Checking apical pulse before administering medication.
heart failure, CHF, is
prescribed digoxin Monitor serum electrolytes.
(Lanoxin) and furosemide
(Lasix). Nursing
interventions will include: Rationale: Digoxin is a cardiac glycoside. which can slow
(Select all that apply.) heart rate, and an apical heart rate is checked prior to
administration. Lasix is a loop diuretic used in treatment
Encourage intake of water of CHF, which promotes not only water loss, but also
and fruit juices. loss of electrolytes. A low potassium level increases risk
Restrict intake of green, of digoxin toxicity. Fluids are often restricted with CHF. H
leafy vegetables. and H level do not need to be checked, and green, leafy
Checking apical pulse vegetables would not need to be restricted.
before administering
medication.
Monitor hemoglobin and
hematocrit levels.
Monitor serum electrolytes.
, The client is prescribed "This drug will help my heart muscle pump less."
digoxin (Lanoxin) for
treatment of HR. Which of Rationale: The ability to increase the strength of
the following statements by contractions is a characteristic of cardiac glycosides. It
the client indicates the may result in a decrease in pulse. Initially the client may
need for further teaching by experience some fatigue. Symptoms of CHF, such as
the nurse? dyspnea, should improve.
"I should not get short of
breath anymore."
"This drug will help my
heart muscle pump less."
"I may notice my heart rate
decrease."
"I may feel tired during
early treatment."
The nurse reviews lab Serum potassium level of 3.0 mEq/L.
studies of a client receiving
digoxin (Lanoxin). Rationale: Normal serum potassium level is 3.5-5.0
Intervention by the nurse is mEq/L. Hypokalemia may predispose the client to
required if the results digitalis toxicity. The other lab values are WNL.
include a
Serum sodium level of 140
mEq/L.
Serum digoxin level of 1.2
ng/dL.
Serum potassium level of
3.0 mEq/L.
Hemoglobin 14.4 g/dL.
