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

A client with hypertension appears at the clinic for follow-up. The client's BP is 138/88 mm Hg. The client asks why it is important to treat hypertension. What would be the nurse's best response?

You are assisting a RN with discharging a patient who had a permanent pacemaker placed two days ago for sustained bradycardia. You are reinforcing the discharge teaching, what statement by the client indicates a need for further teaching?

The nurse is assessing a client with right-sided heart failure. Which of the following findings should the nurse expect? Select all that apply.

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?

The nurse is caring for a patient who has just returned from a cardiac catheterization through the femoral artery. The nurse knows that what three interventions are important to add to the patient's plan of care? (Select all that apply.)

The nurse is caring for a client who has a fluid-volume overload related to heart failure (HF) and is admitted to the nursing unit for treatment.
Vital signs are:
Temperature: 98.0 oral
Heart rate (HR) 88 beats/minute
Respiratory rate (RR) 22 breaths/minute

Oxygen saturation: 94% on room air

What is the PRIORITY nursing action?

The nurse is assessing a client who reports pain to the left lower extremity, especially while ambulating. The discomfort is relieved with rest. Assessment findings confirm left lower leg mottling and hairlessness. Which health problem will the nurse most likely include in the planning of the client's care?

A 70-year-old client comes to the hospital for after suffering a syncopal episode. Patient states that she felt dizzy when she stood up, then passed out. The client's blood pressure on admission is 88/48 mmHg. A list of medications is obtained as part of the medication reconciliation process. Which three medications are most likely to have contributed to this client's signs and symptoms? (Select all that apply.)

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)

 

An LPN working in home care is sent to a patient's house to check the the client's PT/INR since the patient is on warfarin. The LPN know that further education is needed when she sees the patient eating: