A 58-year-old with known chronic mitral regurgitation (MR) a…

A 58-year-old with known chronic mitral regurgitation (MR) arrives with acute dyspnea and pink frothy sputum. Vitals: BP 164/92, HR 118, RR 30, SpO₂ 88% on 2 L NC. Exam: holosystolic murmur at the apex radiating to the axilla, bibasilar crackles, no fever. CXR shows pulmonary edema. The provider asks which immediate intervention will most effectively improve forward cardiac output and reduce regurgitant flow while you continue other supportive measures. Which order should the nurse anticipate implementing first?

Case: A 70-year-old with severe hypoxemia and increasing agi…

Case: A 70-year-old with severe hypoxemia and increasing agitation requires rapid-sequence intubation (RSI). The nurse prepares pre-intubation medications. Which medications are appropriate to administer immediately before the intubation attempt as part of RSI? (Select all that apply.)