A 59-year-old client is brought into the emergency room with complaints of chest pain. The client states that the pain is a crushing, constrictive pressure that is not relieved with position change. He states that the pain started 3 hours ago in the middle of his chest and radiates down his left arm. The client has a history of diabetes, asthma, and hypertension.

T: 99

BP: 138/72

HR: 106

RR: 19

ECG-ST segment depression

Troponin - Negative

The client is given medication for his unstable angina. Soon after, the client states that he is having difficulty breathing with audible wheezing heard on auscultation. Which of the following is most likely responsible for the symptoms experienced by this client?

A client has a three-way catheter with a continuous bladder irrigation post-transurethral resection of the prostate. Over the last 8 hours, there has been 1600 mL of irrigation solution infused and 2500 mL measured in output from the drainage bag. What should the nurse record as the urinary output for the 8-hour period? (Enter the number only. No units)

After starting the treatment for type 2 diabetes mellitus 6 months earlier, a client is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the clients adherence to the antidiabetic therapy over the past few months?

A client who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as

The nurse observes the following EKG. Which lab would the nurse correlate with this finding?

A nurse is caring for a client admitted to the intensive care unit. Assessment findings are:

BP 160/90

HR 100

RR 27

Sp02 89%

Central Venous Pressure (CVP) 18 mmHg

Pulmonary Arterial Wedge Pressure (PAWP) 21 mmHg. Echocardiogram: Ejection Fraction 30%

BNP 1300 pg/mL

What is the nurse's priority action?

A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed. What statement by the client most indicates a higher risk of developing sepsis after discharge?

The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?

A nurse evaluates medication administration record (MAR) listed below for a client with the following rhythm.

Lisinopril 10 mg PO daily

Digoxin 0.125 mcg PO daily

Warfarin 5 mg PO every other day

Furosemide 20 mg PO Daily

Which medication would the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?

After teaching a client who has an implantable cardioverter- defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?