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You are on the phone, when your girlfriend/boyfriend walks up and asks who’s on the phone.  S/he then starts asking if it is another girl/boy and what are you doing talking on the phone with another girl/boy.  Even though you tell her/him it’s your buddy this is an example of what type of ineffective listening?

A client returns from dialysis and the nurse observes that the skin around the permcath insertion site is red, warm to touch, and painful.  Which priority action should the nurse perform first?

Choose the most likely options for the information missing from the table below by selecting from the provided list. Not every option will be used, but, each option will only be used once.  When caring for a client with left ventricular dysfunction, the nurse assesses for related to inadequate cerebral perfusion, related to inadequate myocardium perfusion, and related to inadequate renal perfusion.  The nurse monitors a client who has heart failure closely for complications of pulmonary congestion when administering intravenous fluids.  Manifestations of pulmonary congestion include , , and .  If the client experiences acute pulmonary edema, the nurse would place the client in a sitting position and administer and an . 

The nurse suspects cardiac tamponade in a patient who has acute pericarditis. What assessment findings will the nurse look for? SELECT ALL THAT APPLY (3)

A client diagnosed with heart failure (HF) is prescribed furosemide (Lasix), digoxin (Lanoxin), and potassium chloride. During the assessment the nurse finds that the client is nauseated, has a headache with blurred vision, reports feeling weak, and heart rate is 48 beats per minute (bpm).  Which complication is triggering these clinical manifestations?

The nurse is planning care for a patient with severe heart failure who has developed increased blood urea nitrogen (BUN) and creatinine levels. Which aim will be the primary treatment goal?

The nurse cares for a client diagnosed with acute infective endocarditis (IE).  The client reports painful, tender, pea-sized lesions on their fingers.  Which is the best description of these findings?  

A client returns to the clinic for routine laboratory monitoring for his chronic kidney disease (CKD) stage 2. He reports to the nurse that he’s getting better because over the past few weeks, he only urinates a few times a day and doesn’t need to get up in the middle of the night to void.  The nurse reviews his laboratory results and finds that his glomerular filtration rate has decreased from 65 mL/min to 40 mL/min. What will the nurse include in a health teaching plan for this client? SELECT ALL THAT APPLY (5).

A nurse is assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?

A nurse is caring for a group of critically ill clients. Which of the following clients are exhibiting potential manifestations of septic shock? (Select All that Apply)