10.  While educating a mother about their infant’s congenita…

10.  While educating a mother about their infant’s congenital heart defect, you notice the mother has blood running down her leg. Palpation of her abdomen reveals a boggy uterus. She delivered her baby 16 hours ago. Which of the following actions should the nurse take?

1.   Situation A 65 year old male is admitted to the emergen…

1.   Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion. He arrived via local ambulance and paramedics administered 325 mg ASA p.o., en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1600: Blood pressure 98/58 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP   The nurse should recognize the client is exhibiting symptoms of which of the following conditions?

3. Situation A 65 year old male is admitted to the emergency…

3. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion.  He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1630: Blood pressure 90/50 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP       What information would be most important for the nurse to convey to the client?

7. Situation: An infant is born with complications and the n…

7. Situation: An infant is born with complications and the nurse notices the infant has bounding upper extremity pulses, cold feet, and severely diminished femoral pulses.  Vitals: Blood pressure 64/42 mmHg on right arm and 52/40 mmHg on the right leg, heart rate 158 bpm, temperature 98.6F, respirations 52 breaths/min and pulse ox 82% on left lower extremity.   Which of the following assessment findings should be reported to the provider? (select all that apply)