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The nurse cares for a client diagnosed with ST-segment elevated myocardial infarction (STEMI). An alteplace (tPA) infusion has been running at 0.1 mg/kg/hr for 90 minutes.  The nurse notes no change in the ST segment and the client continues to report crushing chest pain.  Which action should the nurse take FIRST?

The nurse is caring for a 201lb patient being monitored with a pulmonary artery catheter. The nurse assesses a blood pressure of 90/60 mm Hg, heart rate 110 beats/min, respirations 36/min, oxygen saturation of 89% on 3 L of oxygen via nasal cannula. Bilateral crackles are audible upon auscultation. Which of the following hemodynamic values from this patient would the nurse want to evaluate?

The nurse educator provides a class on right atrial pressure monitoring devices (RAP/CVP) in the intensive care unit.  Which action by the nurses determines that teaching has been effective?

The provider sees the patient and gives you the following orders: Administer tetanus toxoid immunization  Administer 350mL (1 unit) of O- pRBCs Initiate and titrate Norepinephrine drip per protocol Give 500mL 0.9% normal saline bolus Give Fentanyl IV push 25mcg q1 hour PRN   Which medication will you give first? Organize the medications in order from first priority to last priority. 

The nurse cares for a client with a central line.  The right atrial pressure RAP/CVP reading is 12↑.  Which is a priority action for the nurse to take? 

The nurse cares for a client diagnosed with acute myocardial infarction (MI).  The nurse notes a 3rd-degree block on the ECG strip below.  Which type of MI would the ECG below most likely indicate?  

Which assessment finding requires the nurse to contact the health care provider?

Knowing about one’s own biases and past experiences is an example of what part of multicultural counseling competence?

The _____ perspective recognizes and emphasizes culturally specific norms and considers a client’s behaviors, thoughts, and feelings within the context of that client’s culture (emphasizes the uniqueness of each individual).

The Panama Canal was significant because: