NUR 242 Exam 3 with correct answers
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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 |answer |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 |answer |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 |answer |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 |answer |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 |answer |Place |client |in |a |high-
Fowler |position.
Which |treatment |would |the |nurse |anticipate |when |caring |for |an |infant |with |heart |failure? |- |
correct |answer |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 |answer |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 |answer |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 |answer |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 |answer |Older |adult |client
Which |assessment |finding |is |a |late |sign |of |heart |failure? |- |correct |answer |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 |answer |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 |answer |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 |answer |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 |
answer |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 |answer |
Potassium |of |3.0 |mEq/L |(3.0 |mmol/L)
, 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. |- |correct |answer |Help |the |client |ambulate |when |required.
Monitor |the |client's |vitals |every |30 |minutes
Administer |adequate |oral |fluids |to |the |client
The |nurse |taught |a |client |with |heart |failure |who |is |scheduled |for |discharge |about |how |
medications, |diet, |and |exercise |improve |activity |tolerance. |During |a |follow-up |visit, |the |nurse |
finds |that |the |client |has |learned |how |to |adapt |his |or |her |exercise |prescription |to |increase |
activity |tolerance. |Which |theory |did |the |nurse |follow |to |achieve |this |positive |outcome? |- |
correct |answer |Roy's |theory
Which |intervention |would |the |nurse |use |after |observing |that |a |6-month-old |child |lies |quietly, |
rarely |smiles |or |babbles, |and |has |his |basic |needs |barely |met |by |the |primary |caregiver, |who |is |
a |grandparent |with |chronic |heart |failure? |- |correct |answer |Initiate |a |referral |for |assessment |of |
home |health |and |schedule |a |family |conference.
A |client |with |heart |failure |weighed |175 |lb |(79.4 |kg) |yesterday, |and |today's |weight |is |181 |lb |
(82.1 |kg). |How |many |milliliters |of |fluid |has |the |client |retained? |. |___mL |- |correct |answer |2700 |
ml
An |infant |with |a |congenital |heart |defect |is |in |heart |failure |and |is |receiving |daily |weight |
measurements. |Which |complication |of |heart |failure |would |daily |weights |help |monitor? |- |
correct |answer |Fluid |retention
Which |intervention |would |the |nurse |implement |for |a |4-month-old |infant |with |tetralogy |of |
Fallot |and |heart |failure? |- |correct |answer |Providing |small, |frequent |feedings
The |nurse |provides |teaching |to |a |client |who |is |being |discharged |after |an |acute |exacerbation |of
|chronic |obstructive |pulmonary |disease |(COPD). |The |nurse |would |instruct |the |client |to |monitor
|for |which |indication |of |right-sided |heart |failure? |- |correct |answer |Weight |gain
| | | | | |
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 |answer |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 |answer |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 |answer |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 |answer |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 |answer |Place |client |in |a |high-
Fowler |position.
Which |treatment |would |the |nurse |anticipate |when |caring |for |an |infant |with |heart |failure? |- |
correct |answer |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 |answer |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 |answer |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 |answer |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 |answer |Older |adult |client
Which |assessment |finding |is |a |late |sign |of |heart |failure? |- |correct |answer |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 |answer |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 |answer |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 |answer |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 |
answer |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 |answer |
Potassium |of |3.0 |mEq/L |(3.0 |mmol/L)
, 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. |- |correct |answer |Help |the |client |ambulate |when |required.
Monitor |the |client's |vitals |every |30 |minutes
Administer |adequate |oral |fluids |to |the |client
The |nurse |taught |a |client |with |heart |failure |who |is |scheduled |for |discharge |about |how |
medications, |diet, |and |exercise |improve |activity |tolerance. |During |a |follow-up |visit, |the |nurse |
finds |that |the |client |has |learned |how |to |adapt |his |or |her |exercise |prescription |to |increase |
activity |tolerance. |Which |theory |did |the |nurse |follow |to |achieve |this |positive |outcome? |- |
correct |answer |Roy's |theory
Which |intervention |would |the |nurse |use |after |observing |that |a |6-month-old |child |lies |quietly, |
rarely |smiles |or |babbles, |and |has |his |basic |needs |barely |met |by |the |primary |caregiver, |who |is |
a |grandparent |with |chronic |heart |failure? |- |correct |answer |Initiate |a |referral |for |assessment |of |
home |health |and |schedule |a |family |conference.
A |client |with |heart |failure |weighed |175 |lb |(79.4 |kg) |yesterday, |and |today's |weight |is |181 |lb |
(82.1 |kg). |How |many |milliliters |of |fluid |has |the |client |retained? |. |___mL |- |correct |answer |2700 |
ml
An |infant |with |a |congenital |heart |defect |is |in |heart |failure |and |is |receiving |daily |weight |
measurements. |Which |complication |of |heart |failure |would |daily |weights |help |monitor? |- |
correct |answer |Fluid |retention
Which |intervention |would |the |nurse |implement |for |a |4-month-old |infant |with |tetralogy |of |
Fallot |and |heart |failure? |- |correct |answer |Providing |small, |frequent |feedings
The |nurse |provides |teaching |to |a |client |who |is |being |discharged |after |an |acute |exacerbation |of
|chronic |obstructive |pulmonary |disease |(COPD). |The |nurse |would |instruct |the |client |to |monitor
|for |which |indication |of |right-sided |heart |failure? |- |correct |answer |Weight |gain
