Exam 3 v1: NUR242/ NUR 242 | Question and
Answers| Latest 2025/ 2026 Update | Medical –
Surgical Nursing Concepts | 100% Verified Solutions |
GRADED A - Galen
Question:
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?
Answer:
TB adversely affects older adults with chronic illness
Question:
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?
Answer:
Use of fresh or frozen vegetables instead of canned ones / low sodium
Question:
Which action would the nurse take first when a client with heart failure has an
episode of paroxysmal nocturnal dyspnea (PND)?
Answer:
Assist the client to sit on the edge of the bed
,Question:
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.
Answer:
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
Question:
The nurse's physical assessment of a client with heart failure reveals tachypnea and
bilateral crackles. Which is the priority nursing intervention?
Answer:
Place client in a high-Fowler position.
Question:
Which treatment would the nurse anticipate when caring for an infant with heart
failure?
Answer:
Medications that are prescribed for both children and adults
,Question:
Which feeding education would the nurse provide the parent of a 2-month-old
infant with the diagnosis of heart failure?
Answer:
Feed slowly while allowing time for adequate periods of rest
Question:
Which assessment finding would indicate improvement in a 4-month-old infant
admitted to the pediatric unit with a diagnosis of congestive heart failure?
Answer:
Weight loss during next 2 days
Question:
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?
Answer:
fluid retention
Question:
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?
Answer:
Older adult client
, Question:
Which assessment finding is a late sign of heart failure?
Answer:
Peripheral edema
Question:
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?
Answer:
Bilateral crackles
Question:
Which method would the nurse use to weigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning?
Answer:
Placing the infant in an infant seat, recording the weight, and then subtracting the
weight of the seat
Question:
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?
Answers| Latest 2025/ 2026 Update | Medical –
Surgical Nursing Concepts | 100% Verified Solutions |
GRADED A - Galen
Question:
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?
Answer:
TB adversely affects older adults with chronic illness
Question:
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?
Answer:
Use of fresh or frozen vegetables instead of canned ones / low sodium
Question:
Which action would the nurse take first when a client with heart failure has an
episode of paroxysmal nocturnal dyspnea (PND)?
Answer:
Assist the client to sit on the edge of the bed
,Question:
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.
Answer:
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
Question:
The nurse's physical assessment of a client with heart failure reveals tachypnea and
bilateral crackles. Which is the priority nursing intervention?
Answer:
Place client in a high-Fowler position.
Question:
Which treatment would the nurse anticipate when caring for an infant with heart
failure?
Answer:
Medications that are prescribed for both children and adults
,Question:
Which feeding education would the nurse provide the parent of a 2-month-old
infant with the diagnosis of heart failure?
Answer:
Feed slowly while allowing time for adequate periods of rest
Question:
Which assessment finding would indicate improvement in a 4-month-old infant
admitted to the pediatric unit with a diagnosis of congestive heart failure?
Answer:
Weight loss during next 2 days
Question:
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?
Answer:
fluid retention
Question:
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?
Answer:
Older adult client
, Question:
Which assessment finding is a late sign of heart failure?
Answer:
Peripheral edema
Question:
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?
Answer:
Bilateral crackles
Question:
Which method would the nurse use to weigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning?
Answer:
Placing the infant in an infant seat, recording the weight, and then subtracting the
weight of the seat
Question:
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?
