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NUR 242 MED SURG EXAM 3 LATEST 2025
ACTUAL EXAM| COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
NEWEST!!
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
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
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
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 1 / 4
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pg. 2 Right upper quadrant discomfort
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.
Which treatment would the nurse anticipate when caring for an infant with heart failure? - ANSWER - Medications that are prescribed for both children and adults
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
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
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
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
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pg. 3 Which assessment finding is a late sign of heart failure? - ANSWER - Peripheral edema
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
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
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? - ANSWER - Increased respiratory rate
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
An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory value would the nurse report to the health care provider? - ANSWER - Potassium of 3.0 mEq/L (3.0 mmol/L)
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pg. 4 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. One, some, or all responses may be correct. - ANSWER - Help the client ambulate when required.Monitor the client's vitals every 30 minutes Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how medications, diet, and exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client has learned how to adapt his or her exercise prescription to increase activity tolerance. Which theory did the nurse follow to achieve this positive outcome? - ANSWER - Roy's theory
Which intervention would the nurse use after observing that a 6-month- old child lies quietly, rarely smiles or babbles, and has his basic needs barely met by the primary caregiver, who is a grandparent with chronic heart failure? - ANSWER - Initiate a referral for assessment of home health and schedule a family conference.
A client with heart failure weighed 175 lb (79.4 kg) yesterday, and today's weight is 181 lb (82.1 kg). How many milliliters of fluid has the client retained? . ___mL - ANSWER - 2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight measurements. Which complication of heart failure would daily weights help monitor? - ANSWER - Fluid retention
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