NUR 242||NUR242 Exam 3 OVER 100
QUESTION/ANSWERED (latest update)
2024/2025 GRADED A+ (best review)
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
ANSWERS) 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 ANSWERS) Use of fresh or frozen
vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart failure
has an episode of paroxysmal nocturnal dyspnea (PND)? (CORRECT
ANSWERS) 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
ANSWERS) 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 ANSWERS) Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant
with heart failure? (CORRECT ANSWERS) 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
ANSWERS) 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 ANSWERS) 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 ANSWERS)
fluid retention
While auscultating the heart, a health care provider notices S 3 heart
sounds in four clients. Which client is at highest risk for heart failure?
(CORRECT ANSWERS) Older adult client
, Which assessment finding is a late sign of heart failure? (CORRECT
ANSWERS) 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 ANSWERS)
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 ANSWERS) 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 ANSWERS) Increased respiratory rate
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? (CORRECT
ANSWERS) Calibrated syringe
An infant with a diagnosis of heart failure is being given furosemide
twice a day. Which laboratory value would the nurse report to the health
care provider? (CORRECT ANSWERS) Potassium of 3.0 mEq/L (3.0
mmol/L)
QUESTION/ANSWERED (latest update)
2024/2025 GRADED A+ (best review)
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
ANSWERS) 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 ANSWERS) Use of fresh or frozen
vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart failure
has an episode of paroxysmal nocturnal dyspnea (PND)? (CORRECT
ANSWERS) 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
ANSWERS) 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 ANSWERS) Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant
with heart failure? (CORRECT ANSWERS) 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
ANSWERS) 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 ANSWERS) 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 ANSWERS)
fluid retention
While auscultating the heart, a health care provider notices S 3 heart
sounds in four clients. Which client is at highest risk for heart failure?
(CORRECT ANSWERS) Older adult client
, Which assessment finding is a late sign of heart failure? (CORRECT
ANSWERS) 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 ANSWERS)
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 ANSWERS) 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 ANSWERS) Increased respiratory rate
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? (CORRECT
ANSWERS) Calibrated syringe
An infant with a diagnosis of heart failure is being given furosemide
twice a day. Which laboratory value would the nurse report to the health
care provider? (CORRECT ANSWERS) Potassium of 3.0 mEq/L (3.0
mmol/L)
