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]

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 patient who is admitted with shortness of breath has a tracing with atrial fibrillation at 140 beats/minute of unknown duration. The nurse begins oxygen per nasal cannula and establishes a saline lock. Which should the nurse prepare to implement next?

A male client with angina pectoris is being discharged from the hospital. Which instruction should the nurse plan to include in his discharge teaching?

A client was admitted to the cardiac observation unit 2 hours ago reporting chest pain. On admission, the client's electrocardiogram (ECG) displays sinus bradycardia (SB) with ST segment depression, but no ventricular ectopy. The client suddenly reports a sharp increase in pain, telling the nurse, "I feel like an elephant just stepped on my chest." The ECG now displays Q waves and ST segment elevations in the anterior leads. Which interventions should the nurse perform?

A client in the emergency department (ED) has baseline arterial blood gas (ABG) of pH 7.35, PaCO2 60 mm Hg, HCO3-35 mEq/L and PaO2 60 mm Hg. Which interpretation should the nurse conclude when analyzing these findings?

Reference Ranges:

• Arterial Blood Gas
• pH [7.35 to 7.45]
• PaCO2 [35 to 45 mm Hg]
• HCO3- [21 to 28 mEq/L (21 to 28 mmol/L)]
• PaO2 [80 to 100 mm Hg]

The nurse is monitoring the client's cardiac rhythm. Based on this strip, which is the correct interpretation of this rhythm?

A client with chronic stable angina reports a new onset of shortness of breath at rest. The nurse obtains vital signs and records a heart rate of 168 beats/minute, respiratory rate 26 breaths/minute, and blood pressure 124/76 mm Hg. While waiting for an electrocardiogram (ECG), which assessment is most important for the nurse to obtain?

The nurse administers a sublingual nitroglycerin tablet to a client with unstable angina. Which finding is most important for the nurse to report to the healthcare provider (HCP)?

A client who had a percutaneous coronary intervention (PCI) two weeks ago returns to the clinic for a follow up visit. The client has a postoperative ejection fraction of 30%. Today the client has lungs which are clear, +1 pedal edema, and a 5 pound weight gain. Which intervention should the nurse implement?

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