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A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Lanoxin increases the heart rate

Lanoxin increases the force of cardiac contractions

Lanoxin order should be questioned in this diagnosis.

Lanoxin decreases the force of cardiac contractions

Answer and Explanation

The Correct Answer is B

Rationale:

A. Lanoxin does not typically increase heart rate significantly.

B. Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.

C. Lanoxin is commonly used in the treatment of heart failure.

D. Lanoxin does not decrease the force of cardiac contractions.

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Correct Answer is B

Explanation

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

A. Sinus Tachycardia B. Junctional Rhythm C. First Degree Heart Block D. Atrial Fibrillation

Correct Answer is D

Explanation

Rationale:

A. This is not correct since a sinus tachycardia show have a sinus P wave unlike in the strip.

B. This is incorrect since a junctional rhythm should have a regular ventricular rhythm unlike in the above strip which is irregular.

C. A first degree heart block should have a PR interval greater than 0.20 without a disruption in the atrial to ventricular conduction.

D. This is correct since the rhythm is irregular and the P waves are absent.

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A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is B

Explanation

Identify the following Cardiac Rhythm:

Correct Answer is D

Explanation

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)

A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?

A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is pulseless, and apneic. The code team places the client on the monitor which indicates ventricular fibrillation, what is the next priority action?

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?