NURS 4581 Nursing of Adults with Complex Needs Exam Prep with Questions and Answers

NURS 4581 Nursing of Adults with Complex Needs Exam Prep with Questions and Answers A 68-year-old man presents with crushing chest pain radiating to the left arm. What is the priority nursing action? a. Administer oral fluids b. Obtain detailed history c. Place patient in supine position d. Administer oxygen Correct answer: D Rationale: Oxygen improves myocardial oxygen supply and is a priority in suspected myocardial infarction. Mrs. K, 72 years old, with heart failure has bilateral leg edema. Which intervention is most appropriate? a. Encourage fluid intake b. Elevate legs c. Restrict protein d. Encourage ambulation only Correct answer: C Rationale: Protein restriction may be required in severe cases to reduce fluid retention burden on the heart. A 55-year-old woman is on digoxin. Which sign indicates toxicity? a. Hypertension b. Bradycardia c. Tachypnea d. Hyperactivity Correct answer: B Rationale: Digoxin toxicity commonly causes bradycardia and arrhythmias.