19.  Which chamber of the heart is responsible for pumping blood out to the body?

46.  The nurse is caring for a patient with heart failure. Which of the following labs would the nurse expect to be elevated for this patient? (select all that apply)

37. Situation An infant is born at 0800 without complication and the nurse is assessing the newborn in the nursery. Auscultation of the heart reveals a systolic murmur but the newborn is asymptomatic. At 1800 the nurse notes that the murmur can no longer be heard when auscultating the heart. Vitals 0800: Blood pressure 78/42 mmHg, heart rate 144 bpm, temperature 99.5F, respirations 48 breaths/min and pulse ox 98% on room air.   1800: Blood pressure  74/50 mmHg, heart rate 140 bpm, temperature 97.0F, respirations 44 breaths/min and pulse ox 97% on room air.   The nurse notes that the temperature of the infant is 97.0F. Which of the following would be an appropriate response to address the temperature?

1.   Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion. He arrived via local ambulance and paramedics administered 325 mg ASA p.o., en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1600: Blood pressure 98/58 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP   The nurse should recognize the client is exhibiting symptoms of which of the following conditions?

5. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion.  He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1630: Blood pressure 90/50 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP   The nurse returns to perform a secondary assessment after the above orders have been carried out and labs are pending. What assessment findings should be reported to the ER provider? (select all that apply)

35.  Match the following diseases to their typical manifestations.

2. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion.  He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1600: Blood pressure 98/58 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP     What nursing intervention is appropriate for this patient?

11.  The doctor orders an Aprostadil (PGE) 0.1 mcg/kg/min IV infusion for an infant. The infusion is supplied in a 500 mcg/100 mL bag. The infant is 3.5 kg. What rate should the pump be programed to infuse in mL/hr? (enter numerics only, mL/hr is assumed in your answer)

9. Situation: An infant is born with complications and the nurse notices the infant has bounding upper extremity pulses, cold feet, and severely diminished femoral pulses.  Vitals: Blood pressure 64/42 mmHg on right arm and 52/40 mmHg on the right leg, heart rate 158 bpm, temperature 98.6F, respirations 52 breaths/min and pulse ox 82% on left lower extremity.   Based off the information gathered, what intervention should the nurse plan to prepare the patient for?

4. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion.  He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1630: Blood pressure 90/50 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP     Which nursing actions are appropriate based on the patient’s current condition?  (Select all that apply.)