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The nursing instructor is observing a student nurse administer enoxaprin (Lovenox) subcutaneously to a patient prophylactically to prevent DVT. Which of the following actions by the student nurse would cause the instructor to intervene?

The nurse is assessing a 44 year old male patient and notices abdominal distention, weight gain of 4 lbs. since yesterday, +3 peripheral edema. The nurse understands these are signs and symptoms of which of the following?

A patient is diagnosed with ventricular fibrillation. For which emergency intervention should the nurse anticipate preparing?

The nurse is caring for a patient and notes the patient is coughing up pink, frothy sputum. Which action should the nurse take?

The nurse is teaching a patient about coronary artery disease and explains atherosclerosis. Which statement made by the patient indicates an understanding of the teaching?

The nurse is reviewing laboratory results for a patient receiving warfarin (Coumadin) and notes the international normalized ratio (INR) is 6.2 Which medication should the nurse prepare to administer ?

The nurse is assessing a patient who is taking digoxin (Lanoxin) for HF. Which finding warrants a phone call to the HCP?

The nurse is preparing to administer digoxin (Lanoxin). The nurse assesses the apical pulse for 15 seconds and notes a rate of 54 beats/minute. Which action should the nurse take?

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

A patient who develops chest pain says the pain is a 9 on a scale of 0–10. Which action should the nurse take?