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 with stable angina secondary to ischemic heart disease receives a prescription for sublingual nitroglycerin prior to discharge from the hospital. During discharge teaching, the client assures the nurse a plan to fill the prescription via online mail order service as soon as arriving at home. How should the nurse respond?

While assessing a client with type 2 diabetes mellitus (DM), the nurse observes an absence of hair growth on the client's lower legs. Which assessment provides further data to support this finding?

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?

A client recovering from cardiac surgery experiences a dysrhythmia, noted on the telemetry monitor. Which assessment finding is most likely to have contributed to the development of the dysrhythmia?

Reference Range:

• Total Calcium [8.4 to 10.6 mg/dL (2.10 to 2.50 mmol/L)]
• Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
• Potassium (K+) [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]

For each medication, choose the drug classification and medication action.

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 57-year-old male client is brought to the emergency department (ED) by emergency medical services (EMS) with reports of chest pain. Client was mowing his lawn and noticed chest pain presenting as tightness and pressure. The pain continued to increase over about 30 minutes when the client decided to rest. The client's wife called emergency medical services (EMS) when the pain was unrelieved after 20 minutes of rest. Client reports no other incidents of experiencing this pain. His medical history includes hypertension, obesity, and a 20 year history of smoking, having quit about 5 years ago. Takes metoprolol succinate ER 25 mg PO.

For each assessment finding, click to specify if the finding is consistent with angina or myocardial infarction, or both. Each column must have at least one response option selected.

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?

After receiving midazolam and fentanyl prior to a bronchoscopy, an older adult's respiratory rate drops to 8 breaths/minute with periods of apnea. The client's arterial blood gas levels are obtained and evaluated. Which laboratory value indicates respiratory depression that can lead to respiratory arrest if left untreated?

Reference Range:

• pH [7.35 to 7.45]
• PaCO2 [35 to 45 mm Hg]
• HCO3 [21 to 28 mEq/L]
• PaO2 [80 to 100 mm Hg]

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