A client is admitted to the hospital for shortness of breath and chest pain after an episode of syncope. Which laboratory finding is most important for the nurse to report to the healthcare provider (HCP)?

The nurse is assessing a client with a history of deep vein thrombosis (DVT) who is admitted for possible pulmonary embolism (PE). It is important to report which finding to the healthcare provider immediately?

An adult male is admitted with dyspnea on exertion, persistent cough, and palpitations. His telemetry reveals atrial fibrillation. Which additional assessment finding warrants the most immediate intervention by the nurse?

The nurse is reviewing laboratory values of a client who was discharged two weeks ago after experiencing a myocardial infarction. Which finding most requires follow-up with the client?

Reference Range:

• Triglycerides [40 to 160 mg/dL (0.45 to 1.81 mmol/L)]
• Lipase [0 to 160 units/L (0 to 2.67 μkat/L)]
• Low-density lipoproteins (LDL) [less than 130 mg/dL (3.36 mmol/L)]
• High-density lipoproteins (HDL) [greater than 45 mg/dL (greater than 1.16 mmol/L)]

A client who is experiencing chest pain and an ST elevation in leads II, III, and aVF is receiving an infusion of tissue plasminogen activator (tPA). Which assessment finding warrants immediate intervention by the nurse?

Initial testing is complete, and the nurse is reviewing the results.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse determines that the client has

Click to highlight the findings that require follow up.

Neurological: Alert and oriented person, place, time, and situation Agitated. Denies headaches.

Cardiovascular: Reported chest pain described as pressure and tightness that is unrelieved with rest. Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary refill 2 seconds.

Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilateral lungs.

Gastrointestinal: Within normal limits (WNL).

Genitourinary: WNL.

Musculoskeletal M/MIL

Pain: Reported 7 on a 0 to 10 scale, tightness and pressure in chest. Started approximately 2 hours ago and got progressively worse, unrelieved by rest.

The nurse auscultates a client's heart sounds and hears a midsystolic click associated with mitral valve prolapse. Which diagnostic test should the nurse prepare the client to expect the healthcare provider (HCP) to prescribe?

After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without relief. Her vital signs are heart rate 122 beats/minute, respirations 16 breaths/minute, blood pressure 116/70 mm Hg, and oxygen saturation 96%. The nurse obtains a 12-lead electrocardiogram (ECG). Which assessment finding is most critical?

Which 2 statements from the client should the nurse recognize as a need for further education?

A client is admitted with a confirmed pulmonary embolism (PE). Six hours after heparin IV infusion is initiated, the client's partial thromboplastin time (PTT) is 152 seconds, so the infusion is discontinued. Which intervention is most important for the nurse to implement?

Reference Range:

• Partial Prothrombin Time (PTT) [27 to 41 seconds]