A patient arrives at the emergency department with reports of fatigue, dizziness, and feeling like they are going to faint. The patient takes metoprolol and carvedilol to control hypertension and heart failure. The heart rhythm in the ambulance showed the following (see figure below). Current vital signs include a blood pressure of 104/45 with a respiratory rate of 23, HR of 40 and SaO2 of 93% on RA. The patient stated he has never felt like this before. At this time the nurse suspects which of the following may be causing the patient’s symptoms?

A patient admitted for cellulitis is reporting increased pain and showing signs of mild confusion. The nurse is asked to assess for sepsis. Positive signs for sepsis trending toward septic shock would include? (select all that apply)

This chamber:

Mrs. Jost has a history of chronic anemia. The nurse assigned to her 1-day post op after orthopedic surgery notices a hemoglobin of 10 and hematocrit of 19. To treat mild anemia, an appropriate nursing action at this time would be to:

The primary action of a beta-blocker to help treat hypertension is:

In reviewing discharge medications, the patient who suffers from coronary artery disease asks the nurse why he has to take both nadolol (Corgard) and isosorbide mononitrate (Imdur) to help with his angina. The nurse’s best response would be:

After the patient reports chest pain 9/10, the LVN has orders to administer nitroglycerin (Nitro) sublingual tablets. Prior to administration the nurse’s priority would be which?

The nurse is aware that the combination of which of the following is evidence a myocardial infarction event is or has occurred?

An expected symptom for a patient with an ejection fraction of 30% would include:

The home health nurse is alarmed that the hypertensive patient’s blood pressure has risen to 200/160, he does not appear to be in any discomfort but reports “just not feeling” like himself. The nurse should perform which focused assessment next?