A patient admitted 2 days ago with heart failure exacerbatio…

A patient admitted 2 days ago with heart failure exacerbation has the following assessment findings: creatinine increased from 1.0 mg/dL on admission to 2.1 mg/dL today, urine output 15 mL/hr for the past 4 hours, blood pressure 96/58 mmHg, heart rate 108/min, cool extremities, and weak peripheral pulses. The patient reports feeling “very weak and tired.” Which interpretation of these findings should guide the nurse’s immediate priority action?  

A patient admitted with acute pulmonary embolism has been re…

A patient admitted with acute pulmonary embolism has been receiving a continuous heparin infusion for 36 hours. The provider orders dabigatran (Pradaxa) 150 mg PO BID to begin tomorrow morning. The nurse understands this transition plan is appropriate because:  

A patient presents to the emergency department with severe a…

A patient presents to the emergency department with severe abdominal and lower back pain. Assessment reveals a palpable pulsating mass near the umbilicus. Blood pressure is 82/48 mm Hg, heart rate 128/min, and the patient appears pale and diaphoretic. Which nursing action is priority?    

A postoperative patient’s cardiac monitor shows the rhythm s…

A postoperative patient’s cardiac monitor shows the rhythm strip above. The patient rates pain as 8/10, is restless, and has a temperature of 101.2°F (38.4°C). Vital signs: HR 118/min, BP 142/88 mmHg, RR 22/min, SpO₂ 95% on room air. Which action should the nurse take first?    

The nurse is assessing multiple clients on a medical-surgica…

The nurse is assessing multiple clients on a medical-surgical unit to identify those at increased risk for developing deep vein thrombosis (DVT). Which client findings increase the risk for thrombus formation based on the components of Virchow’s Triad? (Select all that apply)