This picture shows a 6 second rhythm strip of your client's cardiac telemetry. You would document this finding as:

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?

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?

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?

Before giving any medication of cardiac dysrhythmia the LPN knows that the most important assessment that must be completed prior to giving the medication is:

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:

The home health care nurse is conducting a home visit with an older adult client who has a history of coronary artery disease, hypertension, and heart failure. The client has a new prescription for furosemide 40 mg PO daily. Which statement by the client indicates a correct understanding of taking this new medication safely?

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.)

A client with angina pectoris receives a prescription for nitroglycerin. Which statement shows that the patient understands how to use this medication?

A client is brought to the emergency department for unrelieved chest pain for 45 minutes. ECG performed by EMS suspects a non-ST elevation myocardial infarction (NSTEMI). Which of the following interventions is most important?

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?