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A client’s chart includes the following vital signs.  Based on this information, what is the client’s pulse pressure? Temperature: 98.6 F Pulse: 72 beats/min Respirations: 18 breaths/min Pulse oximetry: 97% Blood Pressure: 146/72 mm Hg

 The nurse is monitoring the ECG of a patient admitted with ACS. Which ECG characteristics would be most suggestive of myocardial ischemia?

The nurse observes the following rhythm on the cardiac monitor.  The client is unresponsive, with no breathing or pulse noted. Which of the following would be appropriate interventions to help terminate this rhythm?

A nurse teaches individuals at a seminar that essential hypertension, if untreated, predisposes a client to what possible complications?   SELECT ALL THAT APPLY.

A 62 y/o male is arriving from EMS with chest pain.   Nurse’s Note:  12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm.      Vital Signs:  98.4 F, HR – 112, RR – 18, BP 162/89, Pulse Ox: 93% on RA    ECG:  Sinus Tachycardia rate 112 bpm. ST elevation noted in V3 and V4    Laboratory Results:  Lab  Results  Reference Range:  WBC  9 x 10^3 cells/mm3  4500–11,000/mm3  RBC  5.3 × 106/μL  4.7-6.1 × 106/μL  Hgb  15.8 g/dL  Male: 14–17.4 g/dL  Hct  44%  Male: 42–52%  Plts  254,000/mm3  140,000–400,000/mm3  Na  144 mEq/L  135-147 mEq/L  Cl  104 mEq/L  95-106 mEq/L  K  4.8 mEq/L  3.5-5.3 mEq/L  CO2  29 mEq/L  22-30 mEq/L  BUN  12 mg/dL  6-20 mg/dL  Cr  1.1 mg/dL  0.6-1.3 mg/dL  Troponin T  0.7 ng/mL  0-0.04 ng/mL  Creatine Kinase MB (CK-MB)  187 IU/L  5-25 IU/L  Cholesterol  265 mg/dL  240 high  The client has now received fibrinolytic therapy post PTCI.  Click to specify whether the intervention is indicated or contraindicated post fibrinolytic therapy.  

Quality CPR  includes the following actions (select all that apply).

Which assessment findings would indicate that a client receiving atenolol may be experiencing dose-related sided effects?  Select ALL that apply

A client is placed on a low sodium diet. Which statement by the patient indicates that the nurse’s nutritional teaching plan has been effective?

The nurse who is caring for a 57-year-old male client in the Emergency Department (ED)   History and Physical: Past medical history for atrial fibrillation, hypertension, alcohol abuse, and hypothyroidism. Denies illicit drug use. Smokes one pack of cigarettes per day. Recent admission two weeks prior for atrial fibrillation with rapid ventricular rate (RVR) who was found to have severe left ventricular (LV) dysfunction with an ejection fraction (EF) of 20-25%. The client presented to the ED with bilateral lower leg swelling, and complaints of shortness of breath (SOB) that has been going on for the past two weeks. He reports dyspnea on exertion, SOB when he lays flat and states that he can only walk a few steps before feeling SOB. He also reports that over that last few days he has noticed that his leg swelling has gotten worse, and he has started to develop swelling of the scrotum.     Nurses Note: 1/20/23 at 1940: Client arrived in the ED via EMS. Alert and oriented x 3. Client placed on telemetry monitor, showing atrial fibrillation with RVR. Vital signs: 97.1*F, P 164, RR 26, BP 134/102, SpO2 94% on room air. Lung sounds with crackles in bilateral bases. Breathing is labored at times. Jugular venous distention (JVD) is observed. Skin is cool to touch and diaphoretic. Capillary refill

When administering IV potassium chloride, which action should the nurse take?