Exam 3 v2: NUR242/ NUR 242 | Question and Answers| Latest 2025/ 2026 Update | Medical – Surgical Nursing Concepts | 100% Correct | GRADED A – Galen

Exam 3 v2: NUR242/ NUR 242 | Question and Answers| Latest 2025/ 2026 Update | Medical – Surgical Nursing Concepts | 100% Correct | GRADED A – Galen Question: Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The nurse will monitor the client for signs and symptoms of which adverse effect? Answer: Myocardial depression Question: The nurse is providing discharge medication teaching to a client who will be taking furosemide and digoxin after discharge from the hospital. Which information is important for the nurse to include in the teaching plan? Answer: Signs and symptoms of digoxin toxicity Question: A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? Answer: Resolution of heart failure Question: The nurse provides medication discharge instructions to a client who received a prescription for digoxin. Which statement by the client leads the nurse to conclude that the teaching was effective? Answer: It will be important to check my pulse rate daily. Question: Which advice will the nurse include when teaching a client about digoxin for left ventricular failure? Answer: Report increasing fatigue Question: A client has been given a prescription for furosemide 40 mg every day in conjunction with digoxin. Which concern would prompt the nurse to ask the health care provider about potassium supplements? Answer: Digoxin toxicity occurs rapidly in the presence of hypokalemia Question: Which assessment will the nurse conduct before administering digoxin to a client? Answer: Apical heart rate Question: Which nursing interventions are important when caring for clients receiving intravenous (IV) digoxin? Select all that apply. One, some, or all responses may be correct. Answer: Monitor the heart rate closely. Check the blood levels of digoxin. Monitor the serum potassium level Question: A client who takes furosemide and digoxin reports to the nurse that everything looks yellow. Which response by the nurse is most appropriate? Answer: "I will hold the medication until I consult with your health care provider. Question: The nurse preceptor is evaluating the nurse who is preparing to administer digoxin intravenously (IV) to a client. Which intervention by the nurse would require the preceptor to stop the nurse? Answer: Piggybacking the digoxin in an existing infusion Question: A preterm infant is started on digoxin and furosemide for persistent patent ductus arteriosus. Which nursing assessment provides the best indication of the effectiveness of the furosemide? Answer: Urine output exceeds fluid intakes Question: When preparing to give medications to a client, the nurse notes a prescription for digoxin 2.5 mg by mouth daily. The digoxin is supplied as 0.125 mg tablets. Which action would the nurse take? Answer: Consult with the primary health care provider Question: The nurse is reviewing medication instructions with parents of an infant receiving digoxin and spironolactone. Which parental response indicates instructions have been understood? Answer: Vomiting should be reported to the health care provider Question: Which action would the nurse take when assessing an infant on digoxin who has an apical pulse of 88 beats per minute? Answer: Notify the health care provider immediately Question: Which prophylactic medication would the nurse anticipate administering to a pregnant client who has mitral valve stenosis during the intrapartum period? Answer: Antibiotic Question: Which sign or symptom indicates that the client at 28 weeks' gestation with previously diagnosed mitral valve stenosis is experiencing cardiac difficulties? Syncope on exertion Answer: Question: A client admitted for mitral valve surgery tells the nurse, "I am not worried at all about the surgery!" Which response by the nurse is best? Answer: I think you may still have questions about the surgery. Question: Which topic would be included in discharge teaching for a 22-year-old client who has had mitral valve replacement with a mechanical valve? Answer: Anticoagulation therapy Question: When the nurse is obtaining the health history for a client with mitral valve stenosis, which question will be most relevant to ask? Answer: Did you ever have strep throat during childhood Question: After the nurse has taught about self-care to a client who has had a mitral valve replacement, which client statement indicates a need for more education? Answer: I will start a vigorous aerobic exercise program Question: Which topics will the nurse include in discharge teaching for a client who has had a mitral valve replacement with a mechanical valve? Select all that apply. One, some, or all responses may be correct. Answer: Symptoms of infection Use of pain medications Purpose of anticoagulant medications Question: Which landmark is correct for the nurse to use when auscultating the mitral valve? Answer: left fifth intercostal space at the midclavicular line Question: When assessing a client who has aortic stenosis and is scheduled for aortic valve replacement, which finding by the nurse is most important to communicate to the health care provider? Answer: Multiple dental caries Question: In which position would the nurse place a 5-week-old infant who has difficulty breathing and feeding related to a suspected congenital heart defect? Answer: Side-lying, with the upper body elevated Question: Which would the nurse avoid in an infant with a congenital heart defect after cardiac catheterization? Answer: Performing range-of-motion exercises Question: An infant is born with a life-threatening congenital heart defect and is admitted to the neonatal intensive care unit. Which is the priority nursing intervention at this time? Answer: Assisting the parents with the grieving process Question: The parents of a preschooler with a congenital heart defect asks the nurse why their child squats after exertion. Which rationale would the nurse provide the parents? Answer: Reduces how hard the heart must work Question: The nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? Select all that apply. One, some, or all responses may be correct. Answer: Foramen oval Ductus arteriosus Question: The nurse assesses a newborn and observes central cyanosis. Which type of congenital heart defect usually results in central cyanosis? Answer: Shunting of blood from right to left Question: During the initial assessment of a newborn the nurse suspects a congenital heart defect. Which clinical manifestations support this suspicion? Select all that apply. One, some, or all responses may be correct. Answer: Nasal flaring Sternal retractions Grunting respirations Question: A child with a congenital heart defect has a cardiac catheterization. Which is an essential element of nursing care after this procedure? Answer: Monitoring the extremity distal to the insertion site Question: A client with a history of a congenital heart defect is admitted to the birthing unit in early labor. Which position would the nurse encourage the client to assume? Answer: Semi-Fowler Question: The nurse advises a client receiving furosemide about potassium intake. Which fruits would the nurse encourage the client to eat? Select all that apply. One, some, or all responses may be correct. Answer: Orange Banana Dried fruit Question: Which nursing action is a priority before administering prescribed furosemide? Answer: Review the potassium level results. Question: A client is taking furosemide. At each clinic visit, the nurse will assess for which adverse effect? Answer: Hyporeflexia Question: Which client statements indicate that the teaching about furosemide is understood? Select all that apply. One, some, or all responses may be correct. Answer: "I need to change my position slowly." "I should eat more food that is high in potassium." Question: A client is receiving furosemide to relieve edema. The nurse will monitor the client for which adverse effect? Answer: hypokalemia Question: A client was prescribed furosemide. The nurse would instruct the client to include which food in the diet? Answer: Bananas Question: The nurse is administering 40 mg of furosemide intravenously. Which sensation reported by the client would the nurse consider when determining that it is being administered too quickly? Answer: Buzzing ears Question: intravenous furosemide has been prescribed for a client with severe edema and hypertension. Which subjective clinical manifestations lead the nurse to suspect that the furosemide is infusing too rapidly? Select all that apply. One, some, or all responses may be correct Answer: Tinnitus Weakness Leg cramps Question: Hydrochlorothiazide (HCTZ) has been prescribed for a client with hypertension. The client reports hearing that furosemide is more effective and requests a prescription change. How will the nurse respond? Answer: HCTZ has fewer side effects Question: What action is most appropriate for the nurse to take for a client who began receiving furosemide 2 days ago and has a serum potassium level of 2.8 mEq/L (2.8 mmol/L)? Answer: Notify the primary health care provider of the critically low result Question: Furosemide has been prescribed as part of the medical regimen for a client with hypertension. Which client statement indicates a need for medication education Answer: This can decrease my vitamin K level. Question: A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system? Answer: Loop of Henle Question: A client is receiving furosemide to relieve edema. The nurse will monitor the client for which responses? Select all that apply. One, some, or all responses may be correct. Answer: Weight loss Excessive loss of potassium ions Question: A client is receiving furosemide. For which sign of hypokalemia will the nurse monitor client? Answer: Muscle weakness Question: Which finding for a client with pulmonary edema who received furosemide is the best indicator that the treatment has been effective? Answer: Oxygen saturation per pulse oximetry is 99% Question: A client who has been admitted with pulmonary edema and received furosemide intravenously needs to void. Which action by the nurse would be best? Answer: Assist the client to a bedside commode. Question: In which components of the nephron unit does furosemide decrease fluid reabsorption? Select all that apply. One, some, or all responses may be correct. Answer: Loop of Henle, distal tubules, and proximal tubules Question: The nurse is caring for a child receiving furosemide for pulmonary edema. Which nursing intervention(s) would the nurse implement? Select all that apply. One, some, or all responses may be correct. Answer: Checking the child's weight every day Calculating the dose of medication as carefully as possible Assessing the child regularly to help prevent electrolyte loss Question: A 78-year-old client who has hypertension is beginning treatment with furosemide. Considering the client's age, which would the nurse teach the client to do? Answer: Change positions slowly Question: A child with pulmonary edema is treated with opioids and furosemide. Which nursing interventions would the nurse perform to promote safe medication administration? Select all that apply. One, some, or all responses may be correct. Answer: Following the principle of atraumatic care Administering oral drugs with food or snacks Documenting the client's age, weight, and height