A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?.

The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?.

Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?.

A nurse is caring for a client who has heart failure.

Nurses' Notes.

Day 1: Vital Signs.

Bilateral breath sounds clear and present throughout.

Weight 80 kg (176 lb). Urine output 480 mL/8 hr. Day 4: Breath sounds scattered, crackles heard bilaterally.

Apical heart rate rapid and irregular.

Audible S3 gallop.

Weight 82.1 kg (181 lb). Urine output 320 mL/8 hr. Vital Signs.

Day 1: Temperature 37.6° C (99.7° F). Blood pressure 108/50 mm Hg. Pulse 98/min.

Respiratory rate 20/min.

Pulse oximetry 95% on room air.

Day 4: Temperature 36.8° C (98.2° F). Blood pressure 138/80 mm Hg. Pulse 112/min.

Respiratory rate 28/min.

Pulse oximetry 88% on room air.

A nurse is reviewing the assessment findings for the client on day 4. Which of the following findings requires further action? (Select all that apply.).

A patient who has chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. Which action would the nurse take first?.

Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?.

A nurse on a cardiac care unit is caring for a preschooler.

Nurses' Notes.

Hospital Day 1. 1738: Received 4-year-old child with an exacerbation of heart failure.

Family reports history of congenital mitral stenosis.

Breath sounds with wheezing noted in bilateral lower lobes.

Nonproductive cough noted.

Dyspnea with respiratory rate 30/min.

Oxygen at 2 L/min applied per nasal cannula.

Telemetry applied: Sinus rhythm at rate 116/min.

Abdomen soft, nontender.

Bowel sounds positive all 4 quadrants.

Lower extremities with 2+ edema noted.

Pedal pulses palpable bilaterally.

Peripheral saline lock intact to right forearm with no signs and symptoms of infection.

Weight 20 kg (44 lb). 2015: Increase in dyspnea noted with orthopnea.

Nasal flaring with respiratory rate of 36/min.

Lung sounds with wheezing noted throughout.

Lower extremity edema 3+ to bilateral lower extremities.

Extremities cool with decreased skin pigmentation noted.

Peripheral pulses weak bilateral.

Jugular vein distention noted.

Provider notified.

Received prescription for additional dose of IV furosemide.

Medication Administration Record.

Hospital Day 1: Furosemide 40 mg IV every 6 hr. Administered at 1755.

Give digoxin 250 mcg IV now.

Administered at 1800.

Hospital Day 2: Give digoxin 125 mcg 12 hr after initial dose.

Administered at 0608.

Give digoxin 125 mcg 12 hr after second dose.

Administered at 1804.

Furosemide 10 mg IV now.

Administered at 2020.

Vital Signs.

Hospital Day 1. 1738: Temperature: 36.7°C (98.0°F). Pulse rate: 114/min.

Respiratory rate: 30/min.

Blood pressure: 92/65 mm Hg. Oxygen saturation: 90%. 2015: Temperature: 36.9°C (98.4°F). Pulse rate: 120/min.

Respiratory rate: 36/min.

Blood pressure: 86/54 mmHg.

Oxygen saturation: 86% room air.
select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1? and Target 2?.

After reviewing a patient's history, vital signs, physical assessment, and laboratory data, which information is most important for the nurse to communicate to the health care provider?.

After receiving a change-of-shift report on four patients, which patient would the nurse assess first?.