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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.

The nurse is caring for a group of patients monitored with a variety of invasive hemodynamic devices. Which patient should the nurse evaluate first?

The nurse is caring for a patient with a left subclavian central venous catheter and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

A patient with infective endocarditis reports sudden shortness of breath and pleuritic chest pain. Upon assessment, the nurse notes an oxygen saturation of 88% on room air and diminished breath sounds in the lower right lung. Which complication should the nurse suspect?