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HEART FAILURE NCLEX EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) 2024
ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES Latest Update
A client with congestive heart failure, CHF, is prescribed digoxin (Lanoxin) and furosemide
(Lasix). Nursing interventions will include: (Select all that apply.)
Encourage intake of water and fruit juices.
Restrict intake of green, leafy vegetables.
Checking apical pulse before administering medication.
Monitor hemoglobin and hematocrit levels.
Monitor serum electrolytes.
✓ Checking apical pulse before administering medication.
✓ Monitor serum electrolytes.
✓
✓ Rationale: Digoxin is a cardiac glycoside. which can slow heart rate, and an apical heart
rate is checked prior to administration. Lasix is a loop diuretic used in treatment of CHF,
which promotes not only water loss, but also loss of electrolytes. A low potassium level
increases risk of digoxin toxicity. Fluids are often restricted with CHF. H and H level do
not need to be checked, and green, leafy vegetables would not need to be restricted.
The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of the following
statements by the client indicates the need for further teaching by the nurse?
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"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."
✓ "This drug will help my heart muscle pump less."
✓
✓ Rationale: The ability to increase the strength of contractions is a characteristic of cardiac
glycosides. It may result in a decrease in pulse. Initially the client may experience some
fatigue. Symptoms of CHF, such as dyspnea, should improve.
The nurse reviews lab studies of a client receiving digoxin (Lanoxin). Intervention by the nurse
is required if the results 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.
✓ Serum potassium level of 3.0 mEq/L.
✓
✓ Rationale: Normal serum potassium level is 3.5-5.0 mEq/L. Hypokalemia may predispose
the client to digitalis toxicity. The other lab values are WNL.
The client's serum digoxin level is 2.2 ng/dL and the heart rate is 120 and irregular. The nurse
expects to administer which of the following drugs?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
HEART FAILURE NCLEX EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) 2024
ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES Latest Update
A client with congestive heart failure, CHF, is prescribed digoxin (Lanoxin) and furosemide
(Lasix). Nursing interventions will include: (Select all that apply.)
Encourage intake of water and fruit juices.
Restrict intake of green, leafy vegetables.
Checking apical pulse before administering medication.
Monitor hemoglobin and hematocrit levels.
Monitor serum electrolytes.
✓ Checking apical pulse before administering medication.
✓ Monitor serum electrolytes.
✓
✓ Rationale: Digoxin is a cardiac glycoside. which can slow heart rate, and an apical heart
rate is checked prior to administration. Lasix is a loop diuretic used in treatment of CHF,
which promotes not only water loss, but also loss of electrolytes. A low potassium level
increases risk of digoxin toxicity. Fluids are often restricted with CHF. H and H level do
not need to be checked, and green, leafy vegetables would not need to be restricted.
The client is prescribed digoxin (Lanoxin) for treatment of HR. Which of the following
statements by the client indicates the need for further teaching by the nurse?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
"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."
✓ "This drug will help my heart muscle pump less."
✓
✓ Rationale: The ability to increase the strength of contractions is a characteristic of cardiac
glycosides. It may result in a decrease in pulse. Initially the client may experience some
fatigue. Symptoms of CHF, such as dyspnea, should improve.
The nurse reviews lab studies of a client receiving digoxin (Lanoxin). Intervention by the nurse
is required if the results 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.
✓ Serum potassium level of 3.0 mEq/L.
✓
✓ Rationale: Normal serum potassium level is 3.5-5.0 mEq/L. Hypokalemia may predispose
the client to digitalis toxicity. The other lab values are WNL.
The client's serum digoxin level is 2.2 ng/dL and the heart rate is 120 and irregular. The nurse
expects to administer which of the following drugs?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
