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NUR 242 MED-SURG EXAM 2|ORIGINAL EXAM WITH
190+QUESTIONS AND ANSWERS|ALREADY GRADED
A+|LATEST UPDATE 2025- 2026
Terms in this set (192) Original Which action by the nurse is most important when preparing for cardioversion of a client with atrial fibrillation? Set synchronizer switch on defibrillator to the "on" position Which assessment finding by the nurse caring for a client with new-onset atrial fibrillation would be most important to communicate to the health care provider? Sudden vision change A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective? An activated partial thromboplastin time (aPTT) is twice the usual value. When treating clients for osteoporosis, which medication has a side effect of atrial fibrillation when infused too quickly? Zoledronic acid
After the home health nurse obtains a radial pulse rate of 136 beats/minute in a client with chronic atrial fibrillation, which action would the nurse take next? Take the client's apical pulse for a full minut Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most important to report quickly to the health care provider? Right arm weakness When teaching a client with atrial fibrillation about a new prescription for warfarin, the nurse will include information about which vitamin? Vitamin K Which action is essential for the nurse to include in the plan of care for a client with atrial fibrillation? Take pulse apically for a full minute. Which action would the nurse include in the plan of care for a client who had an ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to prevent further strokes from occurring? Select all that apply.. Wearing a medical alert bracelet Initiating bleeding precautions Refraining from estrogen therapy Obtaining routine prothrombin times
A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer type. Which instruction would the nurse include when teaching the client's spouse about medication administration? Prefill a weekly medication box with the medications for the client to self- administe A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy. The registered nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse (LPN) to perform? Select all that apply.. Help the client ambulate when required. Monitor the client's vitals every 30 minutes. Administer adequate oral fluids to the client. The clinic nurse receives a call from the mother of an infant prescribed digoxin. The mother reports she forgot whether she gave the morning dose of digoxin. Which response by the nurse is most appropriate? Skip this dose and give it at the next prescribed time The nurse teaches the parents of a 4-year-old child about the administration of digoxin elixir twice a day. Which statement indicates to the nurse the parents need further teaching? "We should give the digoxin twice a day, at breakfast and dinner
Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? Select all that apply.. Bran can decrease digoxin absorption. Digoxin should not be taken with hawthorn supplements. Ginseng may cause a dangerous increase in digoxin levels in the blood. Medications that lower serum potassium or magnesium can cause digoxin toxicity The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for? Vomiting A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads "Digoxin 0.125 mg/mL." What is the total amount of medication, in milligrams, the child takes each day?____ mg
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number? 70 beats/min
A client who has been diagnosed with a myocardial infarction receives digoxin, fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a risk factor for straining due to constipation? Morphine A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to drink a glass of orange juice every day? Maintaining potassium levels 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? Myocardial depression 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? Signs and symptoms of digoxin toxicity When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing action is important to include when planning care? Monitor the client for cardiac dysrhythmias.
A client with left ventricular heart failure and supraventricular tachycardia is prescribed digoxin 0.25 mg daily. Which changes would the nurse expect to find if this medication is therapeutically effective? Select all that apply.. Diuresis Decreased edema Decreased pulse rate A client with hypertensive heart disease who had an acute episode of heart failure is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered with digoxin? Bradycardia 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? Resolution of heart failure 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?
Apical heart rate Digoxin is prescribed for a client with heart failure. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Select all that apply.. Nausea Yellow vision Irregular pulse A client is to receive 0.25 mg of digoxin intramuscularly. The ampule is labeled 0.5 mg = 2 mL. How many milliliters will the nurse administer?___ mL 1 ml Which nursing interventions are important when caring for clients receiving intravenous (IV) digoxin? Select all that apply.. Monitor the heart rate closely Check the blood levels of digoxin Monitor the serum potassium level. A client who takes furosemide and digoxin reports to the nurse that everything looks yellow. Which response by the nurse is most appropriate? I will hold the medication until I consult with your health care provider."
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? Piggybacking the digoxin in an existing infusion 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? Urine output exceeds fluid intake Which topics would be included when teaching a client with heart failure who will be discharged with a new prescription for digoxin? Select all that apply.. Take your radial pulse daily and write it down Notify the health care provider if you develop any vision changes Call the health care provider if your pulse is irregular or less than 60 beats/minute 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? Consult with the primary health care provider.
A health care provider prescribes an initial loading dose of 75 mcg of oral digoxin for a child. The medication is supplied as an elixir, 50 mcg/mL. How many milliliters of solution would the nurse administer?___ mL 1.5 ml Which action would the nurse take when assessing an infant on digoxin who has an apical pulse of 88 beats per minute? Notify the health care provider immediately An antidysrhythmic needs to be administered intravenously (IV) at 1000 mcg/min. The medication is available as 500 mg in 500 mL of DW. The nurse will set the volume control device to administer the medication at how many milliliters per hour?___ mL/h 60 ml After the nurse has presented a staff education session on the use of adenosine for supraventricular tachycardia, which statement by a staff member indicates that the teaching has been effective? We will need a crash cart available at the client's bedside. A client's cardiac monitor indicates ventricular tachycardia. The nurse assesses the client and identifies an increase in apical pulse rate from 100 to 150 beats/minute. Which action is indicated?
Administer amiodarone A client who had a myocardial infarction has runs of ventricular tachycardia. Which medication will the nurse prepare to administer? Amiodarone A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective? Heart rate of 98 beats/minute A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively? decreased heart rate The cardiac monitor reveals several runs of ventricular tachycardia. Which medication is used to treat this dysrhythmia? Amiodarone
Defibrillation Which nursing intervention is the priority action when admitting a client to the emergency department during cardiac arrest from ventricular fibrillation? initiating defibrillation When the nurse in the coronary care unit (CCU) identifies ventricular fibrillation on a client's cardiac monitor, which intervention is the priority? Defibrillate the client. Which action would the nurse perform when a client is in ventricular fibrillation? Select all that apply.. Initiating CPR Assessing the EKG Using a defibrillator Obtaining electrolytes Administering epinephrine A 20-year-old client seen in the emergency department reports frequent "skipped heart beats," and the nurse notes frequent premature ventricular complexes (PVCs) on the cardiac monitor. Which action would the nurse take first?
Ask the client about use of caffeine or stimulant drugs When caring for a client with acute coronary syndrome who has frequent premature ventricular complexes (PVCs), the nurse will be most concerned about PVCs occurring in which phase of the cardiac cycle? T wave A client's cardiac monitor indicates multiple multifocal premature ventricular complexes (PVCs). Which medication is indicated for treatment of ventricular dysrhythmias? Amiodarone The nurse is analyzing the client's rhythm when the nurse notes multiple premature ventricular contractions (PVCs). Each PVC occurs in no particular pattern and looks like all other PVCs. How will the nurse interpret this finding? Unifocal When assisting with cardioversion, which action will the nurse take before delivering the prescribed shock? Shout "clear" to all persons at the bedside
ST segment Which physiological response explains why elevation in body temperature occurs in clients who experience acute coronary syndrome? Inflammatory response Which finding for a client with acute coronary syndrome who is walking in the hallway will be most important to communicate to the health care provider? Blood pressure drops from 130/72 mm Hg to 122/60 mm Hg with ambulation When a client is experiencing acute coronary syndrome, which factor would the nurse identify as the cause of the pain experienced by a client? Heart muscle ischemia Which laboratory test is most important for the nurse to monitor when a client is admitted with acute coronary syndrome? troponin
When caring for a client who has just arrived in the emergency department with possible acute coronary syndrome, which prescribed action would the nurse take first? Ask the client about level of intensity of the chest pain When the emergency department nurse is caring for a client with acute coronary syndrome who reports severe crushing chest pressure, which prescribed medication is best for the nurse to administer? Morphine sulfate 4 mg intravenously When admitting a client with acute coronary syndrome (ACS) to the telemetry unit after cardiac catheterization and percutaneous intervention (PCI), which action would the nurse take first? Attach the cardiac monitor When a client with acute coronary syndrome (ACS) is admitted to the coronary intensive care unit, which topic is a priority to include in teaching? Need to report any chest discomfort to the nurses
