CASE SCENARIO The nurse notices that the client’s rhythm suddenly changes to the following:   QUESTION: The nurse immediately assesses the client. The client is not responding and has the following vital signs:  B/P 60/32 mmHG, Pulse 122 BPM, and RR 4 and shallow, and SPO2 89%. The nurse calls for help from the code team and should do which of the following interventions next?

The nurse knows that this rhythm is interpreted as which one of the following?    

The emergency room nurse is assessing a client who is experiencing anaphylaxis from a bee sting. They have a patent airway and was administered epinephrine. The nurse would hypothesize that which of the following actions should be completed next?

The nurse knows that this rhythm is interpreted as which one of the following?    

The client is admitted to the hospital after a chainsaw accident severed their popliteal artery. The current vital signs are: BP 80/50 mm Hg, HR 135 beats/min, RR 26 breaths/min, Cardiac Output of 2 L/min, SVR 3000 dynes/sec/cm-5, and a hematocrit of 20%. The nurse anticipates performing which the following priority actions?

IV Amiodarone 900 mg in 500 mL D5W to begin infusing at 1 mg/minute. The nurse will set the pump to what rate? Give answer to the hundredths place, do not round.

The nurse is caring for a client following insertion of a left subclavian central venous catheter  and Pulmonary Artery (PA) catheter. Which action by the nurse will best reduce the risk of the client developing a central line associated bloodstream infection (CLABSI)?

The nurse is educating a client’s family member about a pulmonary artery catheter (PAC). Which statement made by the nurse best describes the purpose of the PAC to the family?

The client is admitted to the hospital after a chainsaw accident severed their popliteal artery. The current vital signs are: BP 80/50 mm Hg, HR 135 beats/min, RR 26 breaths/min, Cardiac Output of 2 L/min, SVR 3000 dynes/sec/cm-5, and a hematocrit of 20%. The nurse anticipates performing which the following priority actions?

The nurse is caring for a client with the following telemetry strip. The client has a Mean Arterial Pressure (MAP) of 65 mm/Hg and RR of 26 breaths per minute. The client states that they are dizzy and do not feel well. Which of the following interventions would be a priority for the nurse?