Quiz 3

The nurse provides discharge teaching to a client who has received prescriptions for digoxin, furosemide, and a 2-gram sodium diet. Which statement from the client indicates that further teaching is needed?

"I can use a little table salt on my food as long as I do not use it when cooking food."

The nurse is caring for a client who is admitted with the diagnosis of mild heart failure. Which type of lung sounds should the nurse expect to hear?

Crackles

A nurse is caring for a client with hypertension. Which assessment finding most significantly indicates that a client is hypertensive?

Diastolic blood pressure that remains higher than 90 mm Hg

An older adult client is diagnosed with left-sided congestive heart failure. Which assessments should the nurse expect to find? Select all that apply.

Dyspnea Crackles Hacking cough

Following a major abdominal surgery, a client has a nasogastric tube attached to continuous low suction. The nurse caring for the client postoperatively monitors the client for what signs of hypokalemia? Select all that apply.

Dysrhythmias Muscle weakness

A client with heart failure has anxiety. Which effect of anxiety makes it particularly important for the nurse to reduce the anxiety of this client?

Increases the cardiac workload

A client with a history of heart failure on daily weights has a 2-pound (0.9 kilogram) weight gain and pitting edema in lower extremities bilaterally. Which action should the nurse take next?

Perform a head-to-toe assessment, including vital signs.

What should the nurse do to help alleviate the distress of a client with heart failure and pulmonary edema?

Place the client in the orthopneic position.

A client is receiving furosemide to help treat heart failure. Which laboratory result will cause the nurse to notify the primary healthcare provider?

Potassium 3.0 mEq/L (3.0 mmol/L)

A client with a coronary occlusion is experiencing chest pain and distress. Why does the nurse administer oxygen?

To increase oxygen concentration to heart cells