Author: Anonymous

A client is receiving an infusion of alteplase. The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?

The nurse is caring for a client on the medical-surgical unit who suddenly becomes unresponsive and has no pulse. The cardiac monitor shows the rhythm below: After calling for assistance and a defibrillator, what action would the nurse take next?

A client has presented to the emergency department with an acute myocardial infarction (MI). What action by the nurse is best for optimal client outcomes?

A client in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority?

After teaching a client who has an implantable cardioverter-defibrillator (ICD), a nurse assesses the client’s understanding. Which statement by the client indicates correct understanding of the teaching?

A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and has a blood pressure of 88/52 mm Hg. What action by the nurse takes priority?

A new nurse has been assigned a client in the hospital who is to receive ingestible iodine-131, a radiation treatment. Which action by the nurse is best?

A telemetry nurse assesses a client who has a heart rate of 35 beats/min on the cardiac monitor. Which assessment would the nurse complete next?

The nurse is preparing to change a client’s sternal dressing. What action by the nurse is most important?

A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living. What intervention would the nurse implement to address this client’s concerns?