NSG 229 EXAM 1 CARDIAC QUESTIONS WITH
COMPLETE SOLUTIONS
which teaching would be given by a nurse when considering the
age of a 78 year old client who has hypertension and is
beginning treatment with furosemide?
A: limit fluids at bedtime
B: change positions slowly
C: take the medication between meals
D: assess the skin for breakdown daily
B: change positions slowly
which assessment finding indicates a need for the nurse to
consult with the health care provider before administering the
prescribed metoprolol to a client with stable angina?
A: blood pressure 142/90 mm Hg
B: report of chest pain when walking
C: sinus bradycardia, rate 54 on monitor
D: large Q waves on the electrocardiogram
C: sinus bradycardia, rate 54 on monitor
Which adverse effect would a nurse monitor for when caring for
a client receiving furosemide to relieve edema?
A: Hypernatremia
,B: Elevated blood urea nitrogen
C: hypokalemia
D: increase in the urine specific gravity
C: hypokalemia
which information will the nurse include when teaching a client
with hypertension about metoprolol?
A: do not abruptly discontinue the medication
B: consume alcoholic beverages in moderation
C: report a heart rate of less than 70 beats per minute
D: increase the medication dosage if chest pain occurs
A: do not abruptly discontinue the medication
Which concern when caring for a client prescribed furosemide
40 mg every day in conjuction with digoxin would prompt the
nurse to ask the health care provider about potassium
supplements?
A: Digoxin causes significant potassium depletion
B: the liver destroys potassium as digoxin is detoxified
C: lasix requires adequate serum potassium to promote diuresis
D: digoxin toxicity occurs rapidly in the presence of
hypokalemia
D: digoxin toxicity occurs rapidly in the presence of
hypokalemia
which outcome would the nurse anticipate when metoprolol is
administered with digoxin to a client with hypertensive heart
disease who had an acute episode of heart failure?
A: headaches
,B: bradycardia
C: hypertension
D: junctional tachycardia
B: bradycardia
Which sensation reported by a the client would the nurse
consider when determining that furosemide is being
administered too quickly?
A: full bladder
B: buzzing ears
C: fast heartbeat
D: numb arms and legs
B: buzzing ears
which food would the nurse instruct a client taking diltiazem to
avoid?
A: alcohol
B: grapefruit juice
C: cheddar cheese
D: summer sausage
B: grapefruit juice
Which client statement indicates that the teaching about
furosemide is understood? (select all)
A: it may take 2 or 3 days for this medication to take effect
B: i should wear dark glasses when outdoors during the day
C: i should avoid lying flat in bed
D: i need to change my position slowly
E: i should eat more food that is high in potassium
, D, E
Which advice would the nurse include in a teaching plan to
reduce the side effects of diltiazem?
A: lie down after meals
B: avoid dairy products in diet
C: take the medication with an antacid
D: change slowly from sitting to standing
D: change slowly from sitting to standing
Which subjective manifestation in a client would lead the nurse
to suspect that furosemide is infusing too rapidly? (select all)
A: hunger
B: tinnitus
C: weakness
D: leg cramps
E: excess salivation
B, C, D
Which statement by a staff member after an educational session
on the use of adenosine for supraventricular tachycardia
indicates that the teaching has been effective?
A: we will need a crash cart available at the clients bedside
B: we will plan to schedule the anesthesiologist to be available
C: the medication should be injected over at least 1 to 2 minutes
D: infusion of normal saline will be needed before medication
injection
A: we will need a crash cart available at the clients bedside
COMPLETE SOLUTIONS
which teaching would be given by a nurse when considering the
age of a 78 year old client who has hypertension and is
beginning treatment with furosemide?
A: limit fluids at bedtime
B: change positions slowly
C: take the medication between meals
D: assess the skin for breakdown daily
B: change positions slowly
which assessment finding indicates a need for the nurse to
consult with the health care provider before administering the
prescribed metoprolol to a client with stable angina?
A: blood pressure 142/90 mm Hg
B: report of chest pain when walking
C: sinus bradycardia, rate 54 on monitor
D: large Q waves on the electrocardiogram
C: sinus bradycardia, rate 54 on monitor
Which adverse effect would a nurse monitor for when caring for
a client receiving furosemide to relieve edema?
A: Hypernatremia
,B: Elevated blood urea nitrogen
C: hypokalemia
D: increase in the urine specific gravity
C: hypokalemia
which information will the nurse include when teaching a client
with hypertension about metoprolol?
A: do not abruptly discontinue the medication
B: consume alcoholic beverages in moderation
C: report a heart rate of less than 70 beats per minute
D: increase the medication dosage if chest pain occurs
A: do not abruptly discontinue the medication
Which concern when caring for a client prescribed furosemide
40 mg every day in conjuction with digoxin would prompt the
nurse to ask the health care provider about potassium
supplements?
A: Digoxin causes significant potassium depletion
B: the liver destroys potassium as digoxin is detoxified
C: lasix requires adequate serum potassium to promote diuresis
D: digoxin toxicity occurs rapidly in the presence of
hypokalemia
D: digoxin toxicity occurs rapidly in the presence of
hypokalemia
which outcome would the nurse anticipate when metoprolol is
administered with digoxin to a client with hypertensive heart
disease who had an acute episode of heart failure?
A: headaches
,B: bradycardia
C: hypertension
D: junctional tachycardia
B: bradycardia
Which sensation reported by a the client would the nurse
consider when determining that furosemide is being
administered too quickly?
A: full bladder
B: buzzing ears
C: fast heartbeat
D: numb arms and legs
B: buzzing ears
which food would the nurse instruct a client taking diltiazem to
avoid?
A: alcohol
B: grapefruit juice
C: cheddar cheese
D: summer sausage
B: grapefruit juice
Which client statement indicates that the teaching about
furosemide is understood? (select all)
A: it may take 2 or 3 days for this medication to take effect
B: i should wear dark glasses when outdoors during the day
C: i should avoid lying flat in bed
D: i need to change my position slowly
E: i should eat more food that is high in potassium
, D, E
Which advice would the nurse include in a teaching plan to
reduce the side effects of diltiazem?
A: lie down after meals
B: avoid dairy products in diet
C: take the medication with an antacid
D: change slowly from sitting to standing
D: change slowly from sitting to standing
Which subjective manifestation in a client would lead the nurse
to suspect that furosemide is infusing too rapidly? (select all)
A: hunger
B: tinnitus
C: weakness
D: leg cramps
E: excess salivation
B, C, D
Which statement by a staff member after an educational session
on the use of adenosine for supraventricular tachycardia
indicates that the teaching has been effective?
A: we will need a crash cart available at the clients bedside
B: we will plan to schedule the anesthesiologist to be available
C: the medication should be injected over at least 1 to 2 minutes
D: infusion of normal saline will be needed before medication
injection
A: we will need a crash cart available at the clients bedside
