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? 

  Dosage Calculation Questions:  INSTRUCTIONS:  Calculate the following dosage problems and show your work on the  scratch paper. You may use your calculator.  INSTRUCTIONS FOR ROUNDING OFF NUMBERS:  1) Round off gtts / min to the nearest whole number.  EXAMPLES:  16.7 gtts / min = 17 gtts / min  OR  14.2 gtts / min = 14 gtts / min  2) Round off answers LESS than 1 to 2 decimal points (hundredths).  EXAMPLES:  0.035 = 0.04  OR  0.201 = 0.20  3) Round off answers GREATER than 1 to 1 decimal point (tenths).  EXAMPLES:  1.65 = 1.7  OR  1.23 = 1.2  4) Round off mL / hr to the nearest whole number.  EXAMPLES:  1.4 mL / hr = 1 mL / hr   OR   1.6 mL / hr = 2 mL / hr  5) Round off weights in Kg to one decimal point (tenths).  EXAMPLES:  30.46 Kg = 30.5 Kg  OR  22.32 Kg = 22.3 Kg    A nurse is preparing to administer epinephrine 10 mcg/min by continuous IV infusion. Available is epinephrine 1 mg in 250 mL D5W. The nurse should set the IV pump to deliver how many ml/hr. mL/hr.  

A client with a facial fracture is receiving oxygen via a non-rebreather mask. Which assessment finding requires the nurse to take immediate action? 

A nurse is caring for a client post-laryngectomy due to head and neck cancer. What is the most important safety measure to implement when caring for this client? 

A nurse’s patient was admitted with this EKG.   The patient is prescribed an antiarrhythmic medication. What teaching should the nurse provide to the patient?