NR252 - Final (Part One)
NURS 252 ACTUAL FINAL EXAM 1 NEWEST VERSION 2025
COMPLETE 735 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+\BRAND NEW
2025
Terms in this set (735)
The nurse is preparing to C. The patient's heart rate is 54 bpm. Rationale:
administer the prescribed Digoxin, a cardiac glycoside, has a negative
digoxin to a patient with chronotropic action (decreases heart rate). The
heart failure. Which patient is already bradycardic, and giving digoxin
assessment finding causes may dangerously decrease the heart rate further.
the nurse to hold the Headache is a possible side effect of digoxin therapy,
dose? but not a contraindication. The patient's blood pressure
is elevated, but this is not a contraindication for digoxin.
a. The patient complains of Bilateral edema is common with heart failure. The risk
a headache, rating the of digoxin toxicity increases with hypokalemia, but
pain as a 4/10. potassium of 4.5 mEq/L is within normal range
b. The patient's blood pressure
is 130/76.
c. The patient's heart rate is 54
bpm.
d. The patient has bilateral
edema in the lower
extremities.
e. The patient's serum
potassium is 4.5 mEq/L.
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The nurse is providing C. "I will need to have blood tests regularly to see if my
discharge teaching for a dose needs to be adjusted." Rationale: INR tests must
patient who is beginning be completed as ordered by the physician. INR is used
warfarin therapy. Which to monitor warfarin therapy (Edited: This used to say PT
statement by the patient instead of INR). Leafy, green vegetables (e.g., broccoli
indicates that teaching has and spinach) are high in vitamin K which decreases the
been effective? effects of warfarin. Chamomile tea may increase the
effects of warfarin (increase bleeding). Black, tarry
a. "I will start eating more stools may indicate GI bleeding and should be
broccoli and spinach to reported to the health care provider. Both warfarin and
make this medication heparin increase bleeding, so the patient should be
work better." advised to use an electric razor to prevent shaving
b. "I can drink chamomile cuts.
tea to help me relax if I'm
having trouble sleeping."
c. "I will need to have blood
tests regularly to see if my
dose needs to be
adjusted."
d. "Black, tarry stools are a
normal side effect and do
not need to be reported."
e. "I do not need to use an
electric razor for shaving
now that I'm on warfarin
instead of heparin."
The nurse is reviewing b, c, and e. Rationale: All three of these lab values
medication orders for her are elevated and categorized as "high risk" for coronary
patients and understands artery disease (CAD). Atorvastatin calcium (Lipitor) is a
that which of the following "statin" antihyperlipidemic that works by inhibiting
are possible indications for cholesterol synthesis in the liver, effectively lowering
treatment with atorvastatin cholesterol, LDL, and triglycerides (and slightly
calcium? Select all that increasing HDL). Atorvastatin calcium is not indicated
apply. for INR 1.4 or blood pressure 90/60.
a. the patient with an INR of
1.4
b. the patient with a
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cholesterol level of 252
mg/dL
c. the patient with a LDL level of
170 mg/dL
d. the patient with blood
pressure of 90/60 mmHg
e. the patient with
triglycerides level of 200
mg/dL
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Which type of Angina Unstable
Pectoris occurs frequently
with progressive severity
unrelated to activity and is
unpredictable regarding
stress/exertion and
intensity?
Classic
Unstable
Variant
What teachings does the 2, 4 and 5. The patient is encouraged to take their
nurse give to the patient potassium supplement because Furosemide is a
who is on furosemide potassium wasting diuretic. The patient is at risk for
regarding safe digoxin toxicity if they take digitalis preparations while
administration of this taking furosemide especially if they are not compliant
medication? with their potassium replacement therapy (hypokalemia
Select all that apply. enhances the effect of digitalis preparations) and it is
encouraged for the patient to take their furosemide
1. You may have a few
in the morning to prevent nocturia and reduce risk
glasses of wine everyday
for falls.
if you feel like it as long as
you don't miss your
-incorrect 1 and 3. Alcohol consumption is discouraged
prescribed furosemide.
because of risk of increased orthostatic hypotension
2. Take your potassium
when furosemide is taken with alcohol. Eating licorice
supplements as
can increase loss of potassium leading to
prescribed by the
hypokalemia.
physician.
3. You are encouraged to
eat licorice while taking
this medication
4. Ask your doctor before
taking any digitalis
preparations.
5. You are encouraged
to take this medication
in the morning to
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