The emergency department nurse is caring for a 60-year-old client who presents with left anterior chest pain radiating to the left arm, rated 9/10. The pain began 20 minutes ago while resting.Assessment findings:BP: 154/88 mm HgHR: 92/minRR: 20/minSpO₂: 96% on room airSkin warm and slightly diaphoreticNo known use of phosphodiesterase inhibitorsIV access established and cardiac monitor appliedWhich action should the nurse take FIRST?

A client with a known peanut allergy presents with swelling of lips and tongue, wheezing, and hypotension. BP: 78/42 mm Hg, HR: 130 bpm, RR: 28, O2sat: 90% on room airAs the nurse prioritizes care, which order of interventions should be completed? Apply high-flow oxygenAdminister IM epinephrineStart IV fluidsAdminister antihistamine IV

The nurse prepares to administer adenosine for PSVT. Which nursing actions are appropriate?

A client with sustain atrial fibrillation who is alert and has a blood pressure of 110/66 mm Hg is being prepared for cardioversion. What action is most important for the nurse to complete?

A client arrives at the emergency department complaining of being stung by a bee. The client is conscious but experiencing difficulty breathing, wheezing, and urticaria. Blood pressure is 80/50 mmHg, and heart rate is 120 breaths/min. Which priority action should the nurse complete?

A nurse is reviewing the laboratory results of a client with heart failure who has worsening dyspnea and lower extremity edema. Which laboratory result is most concerning?

A client receives a 24-hour Holter monitor to evaluate episodes of palpitations and dizziness. What information is most important for the nurse to teach the client? 

The nurse is monitoring a client with a PA catheter and notes that the CVP is 1 mmHg. What is the priority nursing intervention?

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? Round the answer to the nearest tenth

A client presents to the ED with chest pain. While the nurse is completing intake, the client suddenly becomes unresponsive. The emergency response team arrives, and the monitor shows rhythm below. What is the nurse’s priority action? Ventricular fibrillation.png