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1. When the clinic nurse is teaching a group of Use of fresh or frozen vegeta-
clients with heart failure (HF) about dietary inter- bles instead of canned ones /
ventions to prevent fluid overload, which topic will low sodium
be included?
2. Which action would the nurse take first when a Assist the client to sit on the edge
client with heart failure has an episode of parox- of the bed
ysmal nocturnal dyspnea (PND)?
3. When caring for a client with a diagnosis of right Dependent edema
ventricular heart failure, the nurse expects which Swollen hands and fingers
assessment findings? Select all that apply. One, Right upper quadrant discomfort
some, or all responses may be correct.
4. The nurse's physical assessment of a client with Place client in a high-Fowler po-
heart failure reveals tachypnea and bilateral sition.
crackles. Which is the priority nursing interven-
tion?
5. Which treatment would the nurse anticipate Medications that are prescribed
when caring for an infant with heart failure? for both children and adults
6. Which feeding education would the nurse provide Feed slowly while allowing time
the parent of a 2-month-old infant with the diag- for adequate periods of rest
nosis of heart failure?
, NUR 242 Exam 3 LATEST VERSION 152 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
UPDATE 2025
7. Which assessment finding would indicate im- Weight loss during next 2 days
provement in a 4-month-old infant admitted to
the pediatric unit with a diagnosis of congestive
heart failure?
8. The parent of an infant with heart failure ques- fluid retention
tions the necessity of weighing the baby every
morning. Which would the nurse say that this
daily information is important in determining?
9. While auscultating the heart, a health care Older adult client
provider notices S 3 heart sounds in four clients.
Which client is at highest risk for heart failure?
10. Which assessment finding is a late sign of heart Peripheral edema
failure?
11. Heart failure develops in a 4-month-old infant Bilateral crackles
with a congenital heart defect, and the infant ex-
hibits marked dyspnea at rest. Which assessment
finding would the nurse expect in this infant?
12. Which method would the nurse use to weigh a Placing the infant in an infant
2-month-old in heart failure with practitioner or- seat, recording the weight, and
ders for semi-Fowler positioning? then subtracting the weight of
the seat
13. Which early sign of heart failure would the nurse Increased respiratory rate
recognize in an infant who has a congenital heart
defect with left-to-right shunting of blood?
14. A 2-month-old infant with the diagnosis of heart Calibrated syringe
failure is discharged with a prescription for oral
, NUR 242 Exam 3
Study online at https://quizlet.com/_hfme3n
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?
15. An infant with a diagnosis of heart failure is being Potassium of 3.0 mEq/L (3.0
given furosemide twice a day. Which laboratory mmol/L)
value would the nurse report to the health care
provider?
16. A client with congestive heart failure is receiving Help the client ambulate when
intravenous digoxin (Cardoxin) therapy. The reg- required.
istered nurse identifies that which items on the Monitor the client's vitals every
client's care plan are appropriate for a licensed 30 minutes
practical nurse (LPN) to perform? Select all that Administer adequate oral fluids
apply. One, some, or all responses may be correct. to the client
17. The nurse taught a client with heart failure who is Roy's theory
scheduled for discharge about how medications,
diet, and exercise improve activity tolerance. Dur-
ing a follow-up visit, the nurse finds that the client
has learned how to adapt his or her exercise pre-
scription to increase activity tolerance. Which the-
ory did the nurse follow to achieve this positive
outcome?
18. Which intervention would the nurse use after ob- Initiate a referral for assessment
serving that a 6-month-old child lies quietly, rarely of home health and schedule a
smiles or babbles, and has his basic needs barely family conference.
met by the primary caregiver, who is a grandpar-
ent with chronic heart failure?
19. 2700 ml