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You are working on a cardiac unit, and a patient with a history of long QT syndrome is admitted. While performing a routine assessment, you notice the cardiac rhythm below on the monitor.   The patient is conscious but appears distressed. What is your immediate priority action?

A nursing instructor is discussing heart failure with preserved ejection fraction (HFpEF – diastolic) and heart failure with reduced ejection fraction (HFrEF – systolic) with a group of nursing students. One student asks about the differences in recommended pharmacological treatment between the two types of heart failure. What would be the most accurate response by the instructor?

The nurse is preparing to obtain a central venous pressure (CVP) reading. What are the most appropriate nursing actions? Select all that apply

A 78 year old man is admitted to the emergency department complaining of dizziness and shortness of breath. Vital signs are as follows: BP: 82/45 (MAP 48), HR 30, RR 24, oxygen saturation 89% on room air, temperature 98.0. The bedside monitor shows the rhythm strip below. Based on these findings, the nurse should be prepared to perform which of the following interventions? Select all that apply   

After the dobutamine drip is initiated the nurse notices the following on the monitor and palpates no pulse. What should the nurse do next? Select all the apply.    

After titrating the epinephrine drip up to increase blood pressure the nurse would anticipate assessing which hemodynamic parameter that would indicate effectiveness? 

Which of the following are important nursing considerations for a patient with a right radial arterial line? Select all that apply

The nurse is caring for a 68-year-old client who is admitted to the medical unit from an outpatient clinic. The patient receives the following order: Dobutamine 5mcg/kg/min. What rate would the nurse set the pump at in mL/hr (Round to nearest tenth) Type only the numerical value, not ml/hr 

A nurse is providing pre-operative teaching to a client with end-stage heart failure who is to receive a left ventricular assist device. (LVAD). Which of the following statements by the nurse provides most accurate information regarding living with an LVAD?

Patient: Miranda Lewis The nurse cares for a 32-year-old Gravida 2 Para 1 client who is 35 weeks gestation. She presents to the antepartum complications floor directly from her physician’s office. She is complaining of a headache, visual disturbances, and right upper quadrant pain.   09/02/XX 1000: Client admitted to the antepartum unit with complaints of headache, blurred vision, and pain in right upper quadrant region. VS: BP 162/112, HR 90, RR 18, T 98.6F (37C), O2 97% on room air. Alert, awake, moderate distress. Patient states “Blurred vision started when I woke up this morning.” Abdomen soft, tender in RUQ. Reflexes 3+ bilaterally in lower extremities. 2+ pitting edema noted bilaterally in lower extremities. Client sitting up in bed with husband at the bedside. Labs pending.   Based on the client’s clinical manifestations, which laboratory findings does the nurse anticipate? Select all that apply.