NURS1220 Perfusion Exam With Complete Solution 2024-2025
The nurse is caring for a client with heart failure who is taking the medication digoxin.
Which of the following findings is characteristic of digoxin toxicity? Select all that apply.
A. Tremors
B. Diarrhea
C. Irritability
D. Blurred vision
E. Nausea and vomiting
B., D., E
The physician orders IV heparin therapy to be started on a client with a fib. During
implementation of this order, the nurse ensures that which of the following medications
is available on the nursing unit? 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 the listed side/adverse effects of the
medication. (SATA) - 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 who has diabetic ketoacidosis and documents that the
client has Kussmaul's respirations. Which breathing patterns did the nurse observe? -
Answer A. Tachypnea, or respirations that are shallow
B. Tachypnea, or respirations that are increased in rate
C. Bradypnea, or respirations that are abnormally slow
D. Hyperpnea, or respirations that are abnormally deep
E. Apnea, or 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? - 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 after an aspirin (acetysalicyclic acid)
overdose. The nurse assesses the client for which signs/symptoms indicating the
acid-base disturbance that can occur in the client? - Answer A. Bradypnea, dizziness,
and parasethesias
B. Headache, nausea, vomiting, and diarrhea
C. Bradycardia, listlessness, and hyperactivity
The nurse is caring for a client with heart failure who is taking the medication digoxin.
Which of the following findings is characteristic of digoxin toxicity? Select all that apply.
A. Tremors
B. Diarrhea
C. Irritability
D. Blurred vision
E. Nausea and vomiting
B., D., E
The physician orders IV heparin therapy to be started on a client with a fib. During
implementation of this order, the nurse ensures that which of the following medications
is available on the nursing unit? 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 the listed side/adverse effects of the
medication. (SATA) - 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 who has diabetic ketoacidosis and documents that the
client has Kussmaul's respirations. Which breathing patterns did the nurse observe? -
Answer A. Tachypnea, or respirations that are shallow
B. Tachypnea, or respirations that are increased in rate
C. Bradypnea, or respirations that are abnormally slow
D. Hyperpnea, or respirations that are abnormally deep
E. Apnea, or 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? - 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 after an aspirin (acetysalicyclic acid)
overdose. The nurse assesses the client for which signs/symptoms indicating the
acid-base disturbance that can occur in the client? - Answer A. Bradypnea, dizziness,
and parasethesias
B. Headache, nausea, vomiting, and diarrhea
C. Bradycardia, listlessness, and hyperactivity
