A client with hypertension is willing to implement lifestyle changes to reduce blood pressure. Which changes would be beneficial in reducing the client's blood pressure? (Select all that apply.)

Your client is admitted with shortness of breath. The telemetry monitor shows an irregularly irregular rhythm with no visible P waves and a ventricular rate of 110 bpm. You recognize this dysrhythmia as atrial fibrillation. Which medication does you anticipate the physician may order to reduce the risk of complications associated with this rhythm?

Which of the following electrocardiography (ECG) findings would require immediate intervention?

Your client: Chester Payne
Age: 78 years old

Past medical history. History of persistent atrial fibrillation, hypertension, hyperlipidemia and osteoarthrosis.
Yesterday: Client was admitted for a diagnosis of atrial fibrillation with rapid ventricular response (RVR). Later in the day, the client's heart rhythm was converted to normal sinus rhythm using intravenous medication therapy.
0900 today: Client is sitting up in the bedside recliner. Client reports "racing heartbeat" and feeling "like I can't get a good deep breath" Upon auscultation the nurse hears an irregular heart rhythm.
Assessment is as follows:
Neurological: Alert and oriented x 4
Eyes, Ear, Nose, and Throat (EENT): Normocephalic, denies sore throat, denies nasal congestion, denies vision changes. No swelling or drainage visualized.
Pulmonary: Reports some shortness of breath (SOB), no cough. Lungs sound clear in all fields. Cardiovascular: Irregular heart rhythm auscultated. Denies chest pain. Skin is warm and dry to the touch. Capillary refill > 3 seconds. 2+ bilateral lower extremity edema. Peripheral pulse 1+ equal bilaterally. Jugular vein distention (JVD) is noted
Gastrointestinal: Abdomen rounded and firm. Reports slight nausea, bowel sounds hypoactive x 4 quadrants. Reports bowel movement prior to admission.
Genitourinary: Voiding clear yellow urine without issues as per client self-report.
Musculoskeletal: Full range of motion against resistance.

When the nurses reassesses the patient, which finding demonstrates that the intervention was successful?

The nurse is caring for a client who has right-sided heart failure, and is scheduled to receive the second dose of furosemide Prior to administration of the drug, assessment of the client reveals a marked decrease from 4+ to 1+ ankle edema, neck distention is less than earlier, and the client lost 3 pounds in 24 hours. What action should the nurse take?

Your client: Chester Payne
Age: 78 years old

Past medical history. History of persistent atrial fibrillation, hypertension, hyperlipidemia and osteoarthrosis.
Yesterday: Client was admitted for a diagnosis of atrial fibrillation with rapid ventricular response (RVR). Later in the day, the client's heart rhythm was converted to normal sinus rhythm using intravenous medication therapy.
0900 today: Client is sitting up in the bedside recliner. Client reports "racing heartbeat" and feeling "like I can't get a good deep breath" Upon auscultation the nurse hears an irregular heart rhythm.
Assessment is as follows:
Neurological: Alert and oriented x 4
Eyes, Ear, Nose, and Throat (EENT): Normocephalic, denies sore throat, denies nasal congestion, denies vision changes. No swelling or drainage visualized.
Pulmonary: Reports some shortness of breath (SOB), no cough. Lungs sound clear in all fields. Cardiovascular: Irregular heart rhythm auscultated. Denies chest pain. Skin is warm and dry to the touch. Capillary refill > 3 seconds. 2+ bilateral lower extremity edema. Peripheral pulse 1+ equal bilaterally. Jugular vein distention (JVD) is noted
Gastrointestinal: Abdomen rounded and firm. Reports slight nausea, bowel sounds hypoactive x 4 quadrants. Reports bowel movement prior to admission.
Genitourinary: Voiding clear yellow urine without issues as per client self-report.
Musculoskeletal: Full range of motion against resistance.
 

The nurse expects the doctor to order what medication(s) for this patient?

A client arrives in the emergency department with chest pain, but all test results come back negative. The healthcare provider diagnoses the client with angina pectoris and orders additional testing. Which test requires the client to exercise on a treadmill while being monitored for myocardial ischemia?

Which two side effects are most closely associated with the use of nitroglycerin tablets? (Select all

The LPN is caring for a client that was recently started on furosemide for dependent edema caused by right sided heart failure. Which nursing actions are appropriate to add to the plan of care for the patient?

The telemetry monitor alarms for your client. The 6 second rhythm strip is seen here. Your first action is to:

A client is admitted for observation following complaints of intermittent chest pain while mowing the grass. The pain persisted for an hour following the activity. All cardiac labs, electrocardiogram, and radiologic studies were normal and the client was provided nitroglycerin for a new diagnosis of angina pectoris. Discharge education includes information that angina is most often attributable to what cause?