NUR242 NUR 242 Exam 4

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NUR242 / NUR 242 Exam 4 Medical-Surgical Nursing Concepts Guarantee passing score of 90% or higher

Consist of 50 Questions with Answers

• captopril, furosemide, and metoprolol are all rx for a pt with HF the clients

BP is 1636/82 HR 65 prior to 0900 medications the nurse reviews the clients most recent labs sodium 146, pot 5.8 bun 18 creatinine 1.0 which should the nurse do first

• administer the medication as ordered
• call the healthcare provider
• withhold captopril
• withhold furosemide

Answer> c

• the nurse is completing ana assessment on a heart failure pt which of the

following findings should receive the highest priority

• bp 100/62 hr 92 with a fib and bibasilar crackles
• confusion, wet cough, orthopnea
• 02 sat 92% on 2l, rr 22 , +1 le edema
• weight gain of 1kg in 3 days. bp 150/80

Answer> B

• the nurse notices that the clients HR dropped from 63 to 50 in the two hours

since their initial assessment. the nurse should first

• administer atropine per standing order 1 / 2

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• notify the md
• review the clients medication record
• take the clients BP

Answer> D

• which rhythms should be defibrillated

Answer> ventricular fibulation and pulseless vtach

• the nurse suspects arterial insuff in the 50 year old pt when the feet and legs

exhibit

• equal warmth
• shiny hairless skin
• brown discoloration
• pedal edema

Answer> B , hair follicles need oxygenated blood

• a nurse asses a pt with AFIB which manifestation requires immediate f/u by

the nurse

• sinus tachycardia
• speech alterations
• fatigue
• dyspnea with activity

Answer> B

• a nurse is assessing a client admitted to the cardiac unit which

statement by the client alerts the nurse to the possibility of RT sided heart failure

• " i sleep with four pillows at night"
• my shoes fit really tight
• i wake up coughing every night
• i have trouble catching my breath

Answer> B

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