A nurse is admitting a client to the medical-surgical unit.

Exhibits

Based on the nurse's assessment findings, click to highlight the specific interventions and orders the nurse would expect to implement for this client.

1. Administer furosemide 40 mg via IV push once.
2. Begin an IV infusion of normal saline (NS) at 150 mL/hr. 
3. Administer digoxin 0.25 mg via IV push NOW. 
4. Monitor daily weights.
5. Call a code STEMI.
6. Monitor strict intake and output.
7. Prepare the client for an echocardiogram.
8. Prepare the client for a radiofrequency catheter ablation.

A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelets are low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?

A client is brought to the emergency department by ambulance with chest pain 10/10 which began 30 minutes prior. The client's troponin levels are 1.20 ng/mL and an ST-elevation is noted on the electrocardiogram (ECG). The nurse understands that the priority intervention for this patient is which of the following?

A nurse is admitting a client to the medical-surgical unit.

Based on the nurse's assessment findings, click to highlight the specific interventions and orders the nurse would expect to implement for this client.

1. Administer furosemide 40 mg via IV push once.
2. Begin an IV infusion of normal saline (NS) at 150 mL/hr. 
3. Administer digoxin 0.25 mg via IV push NOW. 
4. Monitor daily weights.
5. Call a code STEMI.
6. Monitor strict intake and output.
7. Prepare the client for an echocardiogram.
8. Prepare the client for a radiofrequency catheter ablation.

A nurse is caring for a client who has been diagnosed with thrombotic thrombocytopenic purpura (TTP) and will begin plasmapheresis ment should the nurse plan to include when educating the client about this treatment?

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

A nurse on a telemetry unit is caring for four clients. Which of the following clients is experiencing potential manifestations of a myocardial infarction?

A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL DSW. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A client with a long history of poorly-managed left-sided heart failure complains of decreased urine output. Lab results show anemia and elevated serum creatinine levels. Based on these findings, which condition should the nurse suspect the client is experiencing?

A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

A nurse is caring for a client who is receiving an intravenous heparin infusion. When reviewing the client's medical records, the nurse discovers that the client has a previous diagnosis of heparin induced thrombocytopenia (HIT). The nurse immediately stops the heparin infusion and notifies the physician. Which medication should the nurse anticipate will be ordered to neutralize the remaining heparin in the client's bloodstream?