HEART FAILURE WITH ATRIAL
FIBRILLATION EXAM / COMPREHENSIVE
STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE
QUESTIONS FOR GUARANTEED SUCCESS
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the clients plan of care? - Answer--Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answer--Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answer--Obtain a 12 lead ECG.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? - Answer--
Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answer--Ask the client to lay on their left side during the test.
, The nurse observed a family member bringing the client food from home. Which intervention is most
important for the nurse to implement? - Answer--Teach the client and his family what foods are low in
sodium.
The client asks the nurse why they have to be weighed every day. The nurse explains that the weight
gain is one of the first signs of retaining fluid. Which intervention is most important for the nurse to
include in the client's plan of care? - Answer--Report a gain of 3 pounds in one week
What is the first action that the nurse should implement when entering the client's room? - Answer--
Elevate the head of the client's bed
Select additional instructions the nurse should include in the client's teaching plan. SATA - Answer---
Monitor blood pressure prior to administration of digoxin.
-Do not stop taking any prescribed potassium supplements.
-Regular blood draws will be necessary to measure PT and INR.
The client has been taking alpha- adrenergic blocker carvedilol 3.125 mg PO twice daily. Which
interventions are important for the nurse to include in the clients discharge plan? SATA - Answer---Avoid
abrupt transitions to an erect posture
-Take with food, restrict salt and alcohol intake
-Do not quickly discontinue medication
-Do not take extra medicine to make up a missed dose.
The nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg in 2 mL.
How many mL should the nurse prepare to give? - Answer--1 mL
FIBRILLATION EXAM / COMPREHENSIVE
STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE
QUESTIONS FOR GUARANTEED SUCCESS
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the clients plan of care? - Answer--Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answer--Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answer--Obtain a 12 lead ECG.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? - Answer--
Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answer--Ask the client to lay on their left side during the test.
, The nurse observed a family member bringing the client food from home. Which intervention is most
important for the nurse to implement? - Answer--Teach the client and his family what foods are low in
sodium.
The client asks the nurse why they have to be weighed every day. The nurse explains that the weight
gain is one of the first signs of retaining fluid. Which intervention is most important for the nurse to
include in the client's plan of care? - Answer--Report a gain of 3 pounds in one week
What is the first action that the nurse should implement when entering the client's room? - Answer--
Elevate the head of the client's bed
Select additional instructions the nurse should include in the client's teaching plan. SATA - Answer---
Monitor blood pressure prior to administration of digoxin.
-Do not stop taking any prescribed potassium supplements.
-Regular blood draws will be necessary to measure PT and INR.
The client has been taking alpha- adrenergic blocker carvedilol 3.125 mg PO twice daily. Which
interventions are important for the nurse to include in the clients discharge plan? SATA - Answer---Avoid
abrupt transitions to an erect posture
-Take with food, restrict salt and alcohol intake
-Do not quickly discontinue medication
-Do not take extra medicine to make up a missed dose.
The nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg in 2 mL.
How many mL should the nurse prepare to give? - Answer--1 mL
