The client with congestive heart failure is placed on a 2000 ml fluid restriction. The patient has had the following intake today:
Breakfast - 1 cup of coffee, 4 oz of milk with cereal
Lunch - a 12 oz can of diet soda, 1 1/2 cup of chicken soup
Dinner - 16 oz of lemonade, 4 oz of Jello.
How many milliliters can the patient still drink tonight?
(Type the number only, no labels)

The nurse is preparing to administer a client's scheduled antihypertensive medication (lisinopril). The client's vital signs are:
Blood pressure: 88/56 mmHg
Heart rate: 62 bpm
Respiratory rate: 18/min
Oxygen saturation: 98% n room air

A client is prescribed 40 mg of furosemide orally. The furosemide tablets on hand are 20 mg tablets. How many tablets will the nurse administer? (Type only the number in the box.)

 

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

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 LPN knows the patient is likely experiencing:

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?

During report the LPN is told that the patient has orthopnea due to valvular heart disease. The LPN expects to find the patient:

A client is admitted for recurrent peripheral edema. On admission the patient is AAOX3, lungs are clear to auscultations. Heart rate is 88 bmp, regular rate and rhythm. Respiratory rate is 24 breaths per minute. Abdomen is soft non-tender non-distended, last BM was yesterday and was reported by the patient to be soft, normal brown color. Patient has +2 pitting edema of the bilateral hands and bilateral ankles and feet. Blood pressure is 150/82 mmHg. Pulse ox is 88% on 3 liters of oxygen by nasal cannula.
What findings in this assessment require follow-up?

Your patient need morphine 7.5 mg subcutaneous STAT for myocardial infarction. On hand is morphine 15 mg per ml. How many ml will you administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero. Type the number ONLY, no label)

 

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?

The LPN is caring for a client who was recently prescribed 20 mg of simvastatin by mouth. Which statement should the nurse include in the client's teaching session?