A client is receiving an infusion of alteplase. The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?
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The nurse is caring for a client on the medical-surgical uni…
The nurse is caring for a client on the medical-surgical unit who suddenly becomes unresponsive and has no pulse. The cardiac monitor shows the rhythm below: After calling for assistance and a defibrillator, what action would the nurse take next?
A client has presented to the emergency department with an a…
A client has presented to the emergency department with an acute myocardial infarction (MI). What action by the nurse is best for optimal client outcomes?
A client in the cardiac stepdown unit reports severe, crushi…
A client in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority?
After teaching a client who has an implantable cardioverter-…
After teaching a client who has an implantable cardioverter-defibrillator (ICD), a nurse assesses the client’s understanding. Which statement by the client indicates correct understanding of the teaching?
A nurse answers a call light and finds a client anxious, sho…
A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and has a blood pressure of 88/52 mm Hg. What action by the nurse takes priority?
A new nurse has been assigned a client in the hospital who i…
A new nurse has been assigned a client in the hospital who is to receive ingestible iodine-131, a radiation treatment. Which action by the nurse is best?
A telemetry nurse assesses a client who has a heart rate of…
A telemetry nurse assesses a client who has a heart rate of 35 beats/min on the cardiac monitor. Which assessment would the nurse complete next?
The nurse is preparing to change a client’s sternal dressing…
The nurse is preparing to change a client’s sternal dressing. What action by the nurse is most important?
A nurse cares for a client with atrial fibrillation who repo…
A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living. What intervention would the nurse implement to address this client’s concerns?