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A client with septic shock has a BP of 80/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104° F, and blood glucose of 246 mg/dL. The health care provider has written the following orders. Which intervention should the nurse implement first?

A client with acute myocardial infarction (MI) develops the following ECG pattern (see below). The client reports feeling lightheaded and fatigued. Vital signs are blood pressure of 90/60 mmHg and oxygen saturation of 95% on room air. Which priority action should the nurse anticipate the healthcare provider to prescribe? Picture22 thrid degree bloce .jpg

A nurse is monitoring a client with septic shock for early signs of MODS. Which assessment findings may indicate organ dysfunction? Select all that apply

A nurse is caring for a client who has deep-vein thrombosis and is receiving IV fluid that contains 10,000 units of heparin in 500 mL infusing at 1,000 units/hr. When calculating the client’s intake and output, how much should the nurse document as intake from this infusion in an 8-hr shift? Round the answer to the nearest whole number

A client is post-vascular surgery in the intensive care unit. The client’s heart rate is 120 beats per minute on the EKG monitor below, blood pressure is 150/72 mm Hg, oxygen saturation is 95%, and the client reports pain 9/10. What is the priority action the nurse should take? Picture3.png Sinue Tachycardia.png

A client presents to the emergency department 90 minutes after sudden onset of substernal chest pressure. The initial 12-lead ECG is nondiagnostic. A high-sensitivity troponin level is drawn and is within normal limits.The provider wants to increase diagnostic sensitivity for early myocardial infarction.Which additional laboratory test should the nurse anticipate?

A client arrives at the emergency department with substernal chest pain radiating to the left arm, nausea, and vomiting that began upon waking. She reports taking one aspirin and sublingual nitroglycerin at home with no relief. EMS was called. A 12-lead ECG shows STEMI. The nurse assessment findings on admission are:BP: 138/86 mm HgHR: 110 bpmRR: 22/minTemp: 99.0°FSpO₂: 94% on room airThe client is diaphoretic and anxious.Which is the nurse priority action?

A client with chronic congestive heart failure is prescribed digoxin and furosemide. During morning rounds, the client reports nausea, blurred vision with yellow halos, and dizziness. What is the nurse’s next priority action?

The nurse is reinforcing teaching for a client with a newly implanted ICD. Which statements by the client indicate correct understanding? Select all that apply

The nurse obtains the following data when assessing a client who experienced an ST-segment-elevation myocardial infarction (STEMI) 2 days previously. What information is most important to report to the health care provider?