A+
MS2-
Module
2-
Cardiovascular
EAQ
Quiz
A
child
with
pulmonary
edema
is
treated
with
opioids
and
furosemide.
Which
nursing
interventions
would
the
nurse
perform
to
promote
safe
medication
administration?
Select
all
that
apply.
A.
Following
the
principle
of
atraumatic
care
B.
Administering
oral
drugs
with
food
or
snacks
C.
Documenting
the
client's
age,
weight,
and
height
D.
Exposing
the
child
to
sunlight
for
healthy
growth
E.
Administering
medications
if
the
client
reports
dizziness
or
drowsiness
-
ANS:
A,
B,
C
Rationale:
A
local
anesthetic
should
be
applied
at
the
injection
site
to
promote
atraumatic
care.
Administering
drugs
with
food
reduces
gastric
discomfort.
The
client's
afe,
weight,
and
height
should
be
documented
to
help
ensure
correct
calculation
of
the
medication
dose.
D-
A
child
who
is
undergoing
treatment
with
diuretics
should
not
be
exposed
to
sunlight
because
this
can
cause
fluid
volume
loss
and
exhaustion. A+
E-
If
the
client
reports
dizziness
or
drowsiness,
medications
should
not
be
administered
until
a
prescription
is
prescribed
by
the
primary
health
care
provider.
A
client
is
admitted
to
the
hospital
with
a
diagnosis
of
heart
failure
and
acute
pulmonary
edema.
The
health
care
provider
prescribes
furosemide
40
mg
intravenous
(IV)
stat
to
be
repeated
in
1
hour.
Which
nursing
action
will
best
evaluate
the
effectiveness
of
the
furosemide
in
the
managing
the
client's
condition?
A.
Performing
daily
weights
B.
Auscultating
breath
sounds
C.
Monitoring
intake
and
output
D.
Assessing
for
dependent
edema
-
ANS:
B
Auscultating
breath
sounds
Rationale: A+
Maintaining
adequate
gas
exchange
and
minimizing
hypoxia
with
pulmonary
edema
are
critical;
therefore
assessing
the
effectiveness
of
furosemide
therapy
as
it
relates
to
the
respiratory
system
is
most
important.
Furosemide
inhibits
the
reabsorption
of
sodium
and
chloride
from
the
loop
of
Henle
and
distal
renal
tubule,
causing
diuresis;
as
diuresis
occurs
fluid
moves
out
of
the
vascular
compartment,
thereby
reducing
pulmonary
edema
and
the
bilateral
crackles.
A
client
is
admitted
to
the
medical
unit
with
pulmonary
edema.
The
registered
nurse
(RN)
admits
the
client,
writes
a
plan,
and
assigns
the
work
to
another
RN.
Which
factors
are
transferable
in
this
case?
Select
all
that
apply.
A.
Authority
B.
Supervision
C.
Responsibility
D.
Accountability
E.
Communication
-
ANS:
C,
D
C.
Responsibility
D.
Accountability A+
Rationale:
Responsibility
and
accountability
are
transferred
in
this
situation
because
the
RN
assigns
the
work
to
the
other
RN
for
the
care
of
the
client
for
an
effective
outcome.
A-
Authority
is
the
ability
to
perform
duties
in
a
specific
role.
B-
Supervision
is
defined
as
the
active
process
of
directing,
guiding,
and
influencing
the
outcome
of
an
individual's
performance
of
an
activity.
E-
Communication
is
the
right
of
delegation.
A
client
who
has
been
admitted
with
pulmonary
edema
and
received
furosemide
intravenously
needs
to
void.
Which
action
by
the
nurse
would
be
best?
A.
Place
the
client
on
a
bedpan.
B.
Use
adult
diapers
for
the
client.
C.
Help
the
client
walk
to
the
bathroom.
D.
Assist
the
client
to
a
bedside
commode.
-
ANS:
D
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