A patient admitted 2 days ago with a heart failure exacerbat…

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…

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…

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 nurse is preparing to administer scheduled diltiazem to a…

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?