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A patient is diagnosed with an ischemic stroke following a head CT. The patient’s symptoms started 30 minutes ago. Their BP is currently 190/110 mmHg. What is the nurse’s priority action while waiting for ordered alteplase (tPA)?

A patient has been receiving heparin for a deep vein thrombosis and has a platelet count of 50,000/µL (Normal Range= 150,000-400,00/µL). The nurse also assesses the presence of petechiae noted on the patient’s chest and back. What is the nurse’s priority action?

The nurse determines that a patient’s congestive heart failure (CHF) exacerbation is improving based on which of the following trends? (Select all that apply)

The nurse is caring for a patient with suspected myocardial infarction. The nurse understands that which of the following cardiac enzymes is most specific to cardiac muscle injury?  

The nurse is assessing a rhythm strip that shows an irregular rhythm with no identifiable P waves. What is this patient’s rhythm? 

The nurse observes a rhythm strip showing wide, bizarre QRS complexes, and no identifiable P waves. What is the nurse’s best next action?

A patient with hypovolemic shock shows delayed capillary refill, cool clammy skin, and their MAP is 55 mmHg. What medication should the nurse prioritize administering?

The nurse is caring for a patient with a myocardial infarction complicated by cardiogenic shock. Which of the following hemodynamic values will be increased in cardiogenic shock? Select all that apply.

A patient with coronary artery disease reports chest pain at rest. Their 12-lead EKG shows ST depression. What is the best way to describe this patient’s chest pain?

A nurse is providing education to a patient with a permanent pacemaker. Which statement by the patient shows a need for further teaching?