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A patient admitted 2 days ago with a heart failure exacerbation has the following findings: Creatinine increased from 1.0 mg/dL to 2.1 mg/dL Urine output 65 Notify the provider of findings indicating decreased cardiac output and impaired organ perfusion mL/hr for the past 4 hr BP 96/58 mm Hg HR 108/min Cool extremities and weak peripheral pulses Increasing weakness and fatigue Which action should the nurse take first?

During a routine clinic visit, a client’s blood pressure is 156/92 mm Hg. The client denies headache, dizziness, visual changes, or chest discomfort and asks, “If I feel fine, why is everyone concerned about my blood pressure?” Which response by the nurse is most appropriate?    

A patient arrives at the emergency department with a severe headache and blurred vision. Blood pressure is 224/118 mm Hg. The patient is restless and reports chest tightness. The provider is aware of the findings. What should the nurse anticipate as the first priority?

A client being evaluated for chest discomfort suddenly reports increasing substernal pressure and shortness of breath. The cardiac monitor shows new ST-segment elevation that was not present on admission. Which action should the nurse take first?  

A nurse is preparing to administer scheduled diltiazem to a client with atrial fibrillation. The client reports feeling unusually fatigued but denies chest pain or dyspnea. Assessment findings include BP 112/68 mm Hg and an apical pulse of 64/min. The cardiac monitor shows an irregular rhythm with intermittent pauses and ventricular rates ranging from 52 to 78/min. Which action should the nurse take first?  

A nurse is evaluating teaching for a client who began taking enalapril 2 weeks ago for hypertension. Which statement by the client indicates a need for further teaching?  

Demyelination diseases reduce conduction velocity in an axon or nerve bundle because of which of the following?

In the human digestive system, where does the majority of nutrient absorption take place?

Which specialized plant cells control the opening and closing of stomata to regulate gas exchange and water loss?

Bonus Points  Why does prolonged exposure to anesthesia increase the risk of delayed wakening in patients? Note that this rarely kills a patient. Your answer must only include reasoning from lecture material discussed in class. Any reasoning beyond this will not count.