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?

An older adult male client is admitted after three reported syncopal episodes at home. He has several bruises at various stages of healing noted over his arms and legs. The cardiac monitor shows atrial fibrillation (A-fib) with a ventricular response of 140 beats/minute. In addition to contacting the client's healthcare provider (HCP), which intervention should the nurse implement?

A client is admitted with chest pain and is rubbing the left arm. The nurse initiates oxygen at 4 L/minute, and administers a dose of aspirin PO, nitroglycerin sublingually, and morphine sulfate IV. Which additional assessment should the nurse consider for a myocardial infarction (MI)?

A client with chronic obstructive pulmonary disease (COPD) is admitted for a nonemergent cholecystectomy. The admission arterial blood gas (ABG) findings are a pH 7.35, PaCO2 48 mm Hg, and a HCO3- 28 mEq/L (28 mmol/L). Based on these results, which intervention should the nurse implement?

Reference Range:

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

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)?

Based on this strip, which is the interpretation of this rhythm?

An adult client with pericarditis is exhibiting muffled heart sounds. The client is diagnosed with cardiac tamponade, and a pericardiocentesis is scheduled. Prior to the procedure, it is most important for the nurse to implement which intervention?

Review H and P, nurse's notes, flow sheet, prescriptions, and imaging studies.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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?

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 assessing a hospitalized client with pulmonary edema who is reporting two pillow orthopnea and paroxysmal nocturnal dyspnea. The nurse observes rapid shallow respirations and use of accessory muscles. Which action should the nurse include in the client's plan of care?