A client is diagnosed with hypertension. What lifestyle modifications should the nurse emphasize during client education? 

One hour later:     Vital Signs  T: 99.2F  HR: 150  BP: 84/62  RR: 24  O2: 86% RA  Pain: 0/10    Nurses’ Notes    1200: Patient is unresponsive at this time. Provider paged and requested to bedside. Provider stated “I will not come to the bed side at this time”. Provider will be in trouble for this.           a) With these new vital signs what is the nurse’s concern? (be specific) and why is this occurring?   b) What are the top three priorities for this patient? SELECT ALL THAT APPLY  Perfusion Comfort Clotting Gas Exchange 

The nurse is reviewing orders for a newly admitted patient with PAD in the right lower extremity (RLE). The nurse should follow up with the provider about which order? 

A client admitted with sepsis is prescribed broad-spectrum antibiotics. What is the nurse’s priority action before administering the antibiotics? 

Which of the following is the primary goal of initial management in a patient with suspected acute coronary syndrome? 

Which order should the nurse question in the management of acute pericarditis?  

The nurse is evaluating a client who had a cardiac catheterization with a left femoral insertion site. Which of the following pulses should the nurse palpate? 

 A patient is admitted with this EKG strip. The patient is anxious, with a blood pressure of 110/70. What is the nurse’s initial action? 

The nurse cares for a 76-year-old male admitted to the Emergency Department with reports of lightheadedness, fatigue, and chest palpitations.   Nurses’ Notes    1000.  76-year-old male admitted to the ED with lightheadedness, fatigue, and chest palpitations. History of Type 2 diabetes mellitus (treated with metformin), recent lower GI bleed, hyperlipidemia, and hypertension. Non-productive, persistent dry cough present. Lung sounds with rales in the bases bilaterally. Shortness of breath with exertion. Skin pale, warm, moist, and dry. Oriented x2, reports nervousness. Last BM this morning with no evidence of frank blood. Voiding with no difficulty. Poor appetite over the last 2 days. 2+ edema to the lower extremities. No nausea or vomiting. Stupidly did not take daily meds this morning.     EKG:   Chest XRAY: Bilateral pleaural effusions and cardiomegaly   Laboratory Report        Lab  Results  Reference range   Cholesterol (Total)  250 mg/dl  240 high  WBC  10 x 103 cells/mm3  4.5 – 10.5 x 103 cells/mm3  Platelets  400,000/ mm3  140,000 to 450,000/ mm3  Potassium(serum)  4.1 mEq/L  3.5 to 5 mEq/L  Sodium (serum)  140 mEq/L  135 to 145 mEq/L  Magnesium (serum)  1.5 mEq/L  1.5 to 2.1 mEq/L  Troponin T  0.02 ng/ml  0 to 0.04 ng/ml  Creatine Kinase MB (CKMB)  170 IU/L  5 to 25 IU/L  Glucose  194  70-110  BNP  522 pg/mL  (

A charge nurse is overseeing the care on a busy medical-surgical unit. The unit is short-staffed, and there are several tasks that need to be delegated. Which task is most appropriate for the charge nurse to delegate to a nursing assistant?