NURS1220 Perfusion Exam 2025

The nurse is monitoring a client with heart failure who is taking digoxin. Which findings are characteristic of digoxin toxicity? - Correct Answer-A. Tremors B. Diarrhea C. Irritability D. Blurred vision E. Nausea and vomiting B., D., E IV heparin therapy is prescribed for a client with a fib. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit? - Correct Answer-A. Vitamin K B. Protamine sulfate C. Potassium chloride D. Aminocaproic acid B. Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease with TB. The nurse should monitor for which side/adverse effects of the medication? (SATA) - Correct Answer-A. Signs of hepatitis B. Flu-like syndrome C. Low neutrophil count D. Vitamin B6 deficiency E. Ocular pain or blurred vision F. Tinging and number of the fingers A., B., C., E. The nurse Is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. Which patterns did the nurse observe? - Correct Answer-A. Respirations that are shallow B. Respirations that are increased in rate C. Respirations that are abnormally slow D. Respirations that are abnormally deep E. Respirations that cease for several seconds B., D. The nurse is caring for a client whose arterial blood gas results reveal alkalosis. What client reactions would the nurse expect to see? - Correct Answer-A. Tetany B. Lethargy C. Confusion D. Tingling E. Numbness F. Restlessness A., C., E., F. A client is admitted to the hospital 24 hours following an aspirin (acetysalicyclic acid) overdose. The nurse assesses the client for which signs/symptoms indicating the acid-base disturbance that could occur in the client? - Correct Answer-A. Bradypnea, dizziness, and parasethesias B. Headache, nausea, vomiting, and diarrhea C. Bradycardia, listlessness, and hyperactivity D. Restlessness, confusion, and a positive Trousseau's sign B. A client with chronic kidney disease being hemodialyzed suddenly becomes short of breath and complains of chest pain. The client is tachycardic, pale, and anxious, and the nurse suspects air embolism. What are the priority nursing actions? - Correct Answer-A. Administer oxygen to the client B. Continue dialysis at a slower rate after checking the lines for air. C. Notify the PHCP and Rapid Response Team D. Stop dialysis and turn the client on the left side with head lower than feet. A., C., D. A client receiving total parenteral nutrition (TPN) demonstrating signs and symptoms of an air embolism. What is the first action by the nurse? - Correct Answer-A. Stop the TPN solution B. Place the client in the high-fowler's position C. Notify the PHCP D. Place the client on the life side in the Trendelenburg's position. D. The nurse is assessing the functioning of a chest tube drainage system in a client with chest injury who has just returned from the recovery room following a thoracotomy with wedge resection. Which are the expected assessment findings? - Correct Answer-A. Excessive bubbling in the water seal chamber B. Vigorous bubbling in the suction control chamber C. Drainage system maintained below the client's chest D. 50ml of drainage in the drainage collection chamber E. Occlusive dressing is placed over the chest tube insertion site F. Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation C., D., E., F. A client is determined by blood gas analysis to be in a respiratory alkalosis. Which electrolyte disorder should the nurse monitor for that could accompany the acid-base imbalance? - Correct Answer-A. Hypokalemia B. Hypercalcemia C. Hypochloremia D. Hypernatremia