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)

 

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:

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?

A client arrives to the emergency department with dizziness, blurred vision with greenish halos, constipation and fatigue. The client's partner states that that client has been "a little off - kinda confused" this morning. Vital signs: Temp 98.8, HR 44, RR 26. BP 112/68 SpO2 97% on room air. Medical history: obesity, hypothyroidism, heart failure, hypercholesterolemia. Medication reconciliation shows: Furosemide 40 mg daily, levothyroxine 25 mcg daily, digoxin 0.5 mg, simvastatin 40 mg. Based on the above information the nurse suspects that the patient has:

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

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?

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

The nurse is performing an assessment on a client with a history of cardiovascular disease, diabetes, hypertension, and hypothyroidism. The client is experiencing exhaustion with simple activities of daily living and short ambulation, and states a 5-pound weight gain over 4 days. Assessment reveals 4+ edema to lower extremities and jugular distention. The nurse will report findings to the health care provider and anticipates which medical condition?

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?