NURS 242 – Comprehensive Nursing Concepts
Bundle | 2024/2025 | Fully Verified Content, High-
Yield Notes, and Clinical Tools
Which action by the nurse is most important when preparing for cardioversion of a client
with atrial fibrillation? - Set synchronizer switch on defibrillator to the "on" position
Which assessment finding by the nurse caring for a client with new-onset atrial
fibrillation would be most important to communicate to the health care provider? -
Sudden vision change
A client who has atrial fibrillation with rapid ventricular response is started on a
continuous heparin infusion. Which clinical finding enables the nurse to conclude that the
heparin therapy is effective? - An activated partial thromboplastin time (aPTT) is twice
the usual value.
When treating clients for osteoporosis, which medication has a side effect of atrial
fibrillation when infused too quickly? - Zoledronic acid
After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client
with chronic atrial fibrillation, which action would the nurse take next? - Take the client's
apical pulse for a full minut
Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most
important to report quickly to the health care provider? - Right arm weakness
When teaching a client with atrial fibrillation about a new prescription for warfarin, the
nurse will include information about which vitamin? - Vitamin K
Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? - Take pulse apically for a full minute.
Which action would the nurse include in the plan of care for a client who had an
ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to
prevent further strokes from occurring? Select all that apply. One, some, or all responses may
be correct. - Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
, Obtaining routine prothrombin times
Notifying providers of anticoagulation
Which client response must the nurse monitor to determine the effectiveness of
amiodarone? - Decrease in cardiac dysrhythmias
The nurse provides discharge teaching to a client who has received prescriptions for
digoxin, furosemide, and a 2-g sodium diet. Which statement from the client indicates that
further teaching is needed? - I can use a little table salt on my food as long as I do not use
it when cooking food.
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? -
Calibrated syringe
An infant with congenital heart disease is prescribed digoxin and furosemide upon
discharge. Which sign would the nurse instruct the parents to be alert for? - Difficulty
feeding with vomiting
A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg
twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer type. Which
instruction would the nurse include when teaching the client's spouse about medication
administration? - Prefill a weekly medication box with the medications for the client to
self-administe
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy.
The registered nurse identifies that which items on the client's care plan are appropriate for a
licensed practical nurse (LPN) to perform? Select all that apply. One, some, or all responses may
be correct. - Help the client ambulate when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
The clinic nurse receives a call from the mother of an infant prescribed digoxin. The
mother reports she forgot whether she gave the morning dose of digoxin. Which response by
the nurse is most appropriate? - Skip this dose and give it at the next prescribed time
The nurse teaches the parents of a 4-year-old child about the administration of digoxin
elixir twice a day. Which statement indicates to the nurse the parents need further teaching? -
"We should give the digoxin twice a day, at breakfast and dinner
, Which lifestyle advice does the nurse give to a client when oral digoxin therapy is
initiated? Select all that apply. One, some, or all responses may be correct. - Bran can
decrease digoxin absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the blood.
Medications that lower serum potassium or magnesium can cause digoxin toxicity
The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign
of digoxin toxicity would the nurse monitor for? - Vomiting
A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads "Digoxin
0.125 mg/mL." What is the total amount of medication, in milligrams, the child takes each
day?____ mg - 0.3
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if
an apical heart rate falls below which number? - 70 beats/min
A health care provider prescribes digoxin for a client. The nurse teaches the client to be
alert for which common early indication of acute digoxin toxicity? - Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason
to withhold the digoxin? - yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? - Cardiac dysrhythmias
A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? - "The medication may need to be
discontinued. Come to the clinic this afternoon."
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? - Increased contractile force of the myocardium
A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a
risk factor for straining due to constipation? - Morphine
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the
client to drink a glass of orange juice every day? - Maintaining potassium levels
Bundle | 2024/2025 | Fully Verified Content, High-
Yield Notes, and Clinical Tools
Which action by the nurse is most important when preparing for cardioversion of a client
with atrial fibrillation? - Set synchronizer switch on defibrillator to the "on" position
Which assessment finding by the nurse caring for a client with new-onset atrial
fibrillation would be most important to communicate to the health care provider? -
Sudden vision change
A client who has atrial fibrillation with rapid ventricular response is started on a
continuous heparin infusion. Which clinical finding enables the nurse to conclude that the
heparin therapy is effective? - An activated partial thromboplastin time (aPTT) is twice
the usual value.
When treating clients for osteoporosis, which medication has a side effect of atrial
fibrillation when infused too quickly? - Zoledronic acid
After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client
with chronic atrial fibrillation, which action would the nurse take next? - Take the client's
apical pulse for a full minut
Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most
important to report quickly to the health care provider? - Right arm weakness
When teaching a client with atrial fibrillation about a new prescription for warfarin, the
nurse will include information about which vitamin? - Vitamin K
Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? - Take pulse apically for a full minute.
Which action would the nurse include in the plan of care for a client who had an
ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to
prevent further strokes from occurring? Select all that apply. One, some, or all responses may
be correct. - Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
, Obtaining routine prothrombin times
Notifying providers of anticoagulation
Which client response must the nurse monitor to determine the effectiveness of
amiodarone? - Decrease in cardiac dysrhythmias
The nurse provides discharge teaching to a client who has received prescriptions for
digoxin, furosemide, and a 2-g sodium diet. Which statement from the client indicates that
further teaching is needed? - I can use a little table salt on my food as long as I do not use
it when cooking food.
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? -
Calibrated syringe
An infant with congenital heart disease is prescribed digoxin and furosemide upon
discharge. Which sign would the nurse instruct the parents to be alert for? - Difficulty
feeding with vomiting
A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg
twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer type. Which
instruction would the nurse include when teaching the client's spouse about medication
administration? - Prefill a weekly medication box with the medications for the client to
self-administe
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy.
The registered nurse identifies that which items on the client's care plan are appropriate for a
licensed practical nurse (LPN) to perform? Select all that apply. One, some, or all responses may
be correct. - Help the client ambulate when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
The clinic nurse receives a call from the mother of an infant prescribed digoxin. The
mother reports she forgot whether she gave the morning dose of digoxin. Which response by
the nurse is most appropriate? - Skip this dose and give it at the next prescribed time
The nurse teaches the parents of a 4-year-old child about the administration of digoxin
elixir twice a day. Which statement indicates to the nurse the parents need further teaching? -
"We should give the digoxin twice a day, at breakfast and dinner
, Which lifestyle advice does the nurse give to a client when oral digoxin therapy is
initiated? Select all that apply. One, some, or all responses may be correct. - Bran can
decrease digoxin absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the blood.
Medications that lower serum potassium or magnesium can cause digoxin toxicity
The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign
of digoxin toxicity would the nurse monitor for? - Vomiting
A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads "Digoxin
0.125 mg/mL." What is the total amount of medication, in milligrams, the child takes each
day?____ mg - 0.3
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if
an apical heart rate falls below which number? - 70 beats/min
A health care provider prescribes digoxin for a client. The nurse teaches the client to be
alert for which common early indication of acute digoxin toxicity? - Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason
to withhold the digoxin? - yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? - Cardiac dysrhythmias
A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? - "The medication may need to be
discontinued. Come to the clinic this afternoon."
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? - Increased contractile force of the myocardium
A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a
risk factor for straining due to constipation? - Morphine
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the
client to drink a glass of orange juice every day? - Maintaining potassium levels
