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.NUR242/ NUR 242 Exam 2 | Questions and
Answers | Latest 2025/ 2026 Update | Medical-
Surgical Nursing Concepts| 100% Correct |
GRADED A โ Galen.
Question: Which action by the nurse is most important when preparing for cardioversion of a client with atrial fibrillation? Answer: Set synchronizer switch on defibrillator to the "on" position Question: 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? Answer: Sudden vision change Question: 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?
Answer: An activated partial thromboplastin time (aPTT) is twice the usual value. Question: When treating clients for osteoporosis, which medication has a side effect of atrial fibrillation when infused too quickly? Answer: Zoledronic acid Question: 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? Answer: Take the client's apical pulse for a full minut Question: Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most important to report quickly to the health care provider?
Answer: Wearing a medical alert bracelet Initiating bleeding precautions Refraining from estrogen therapy Obtaining routine prothrombin times Notifying providers of anticoagulation Question: Which client response must the nurse monitor to determine the effectiveness of amiodarone? Answer: Decrease in cardiac dysrhythmias Question: The nurse provides discharge teaching to a client who has received prescriptions for digoxin, furosemide, and a 2-g sodium diet. Which statement from the client indicates that further teaching is needed? Answer: I can use a little table salt on my food as long as I do not use it when cooking food.
Question: A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item would the nurse teach the mother to use when administering the medication? Answer: Calibrated syringe Question: An infant with congenital heart disease is prescribed digoxin and furosemide upon discharge. Which sign would the nurse instruct the parents to be alert for? Answer: Difficulty feeding with vomiting Question: 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? Answer: Prefill a weekly medication box with the medications for the client to self-administe
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? Answer: "We should give the digoxin twice a day, at breakfast and dinner Question: Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? Select all that apply. One, some, or all responses may be correct. Answer: 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 Question: The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for? Answer:
Vomiting Question: 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 Answer:
Question: According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number? Answer: 70 beats/min Question: A health care provider prescribes digoxin for a client. The nurse teaches the client to be alert for which common early indication of acute digoxin toxicity? Answer: Vomiting
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect? Answer: Increased contractile force of the myocardium Question: 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? Answer: Morphine Question: 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? Answer: Maintaining potassium levels 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: When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing action is important to include when planning care? Answer: Monitor the client for cardiac dysrhythmias. Question:
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: Which assessment finding for a client with heart failure who is taking digoxin will be most important to communicate to the health care provider? Answer: Premature ventricular contractions
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: A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication? Answer: Slows and strengthens cardiac contractions Question: Which assessment will the nurse conduct before administering digoxin to a client? Answer: Apical heart rate Question:
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 intake
Question: 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. One, some, or all responses may be correct. Answer: 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 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: Which information about a client who has heart failure would the nurse communicate to the health care provider before administration of the prescribed digoxin? Answer:
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 Answer: 1.5 ml 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: 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 Answer: 60 ml Question:
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? Answer: We will need a crash cart available at the client's bedside. Question: 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? Answer: Administer amiodarone Question: A client who had a myocardial infarction has runs of ventricular tachycardia. Which medication will the nurse prepare to administer? Answer: Amiodarone Question:
