Based on the strip below, what is the greatest risk to the client?   

A 65-year-old patient with a history of heart failure is admitted to the hospital with signs of decompensation. The healthcare provider has increased the client’s dosage of losartan to decrease the client’s afterload and associated workload on the heart. The nurse knows that it would be most important to monitor which of the following lab values for this client? Select all that apply.

After the dobutamine drip is initiated the nurse notices the following on the monitor and palpates no pulse. What should the nurse do next? Select all the apply.    

You are a nurse working in a pediatric cardiac unit. A 1-year old patient with Tetralogy of Fallot has been admitted. During a routine feeding, the baby suddenly becomes visibly distressed, with increased cyanosis, crying, and a rapid rate breathing. The parents are concerned and anxious. The healthcare provider has been notified. Select the appropriate nursing interventions for managing this situation: Select all that apply

The nurse is caring for a 100 kg patient being monitored with a pulmonary artery catheter. The nurse assesses a blood pressure of 70/30 mm Hg, heart rate 110 beats/min, respirations 36/min, oxygen saturation of 82% on 3 L of oxygen via nasal cannula. Bilateral crackles are audible upon auscultation. The patient is febrile with a WBC of 20,000c/mm3 (reference range: Normal 5,000-10,000c/mm3). The patient’s systemic vascular resistance (SVR) is 300dynes/sec, central venous pressure (CVP) is 2mmHg, and cardiac output (CO) is 5.7L/min  Which of the following interventions would be appropriate for the nurse to include in the patient’s plan of care? Select all that apply

The nurse is caring for a patient in the ICU who is being monitored with a central venous pressure (CVP) catheter. The nurse records the patient’s CVP as 8 mm Hg. The nurse understands that this finding indicates the patient is experiencing which of the following?

The nurse is preparing to obtain a central venous pressure (CVP) reading. What are the most appropriate nursing actions? Select all that apply

A 45-year old client presents to the physician’s office with a low-grade fever, body aches and unexplained petechiae over the hands and feet. Based on the client’s symptoms, the physician suspects the client might have infective endocarditis. Which of the following could potentially increase a client’s risk of endocarditis? Select all that apply.

A patient has just undergone a complex cardiac catheterization procedure involving the left coronary artery. The healthcare provider ordered specific post-procedure interventions. Which action should the nurse prioritize in the immediate post-procedure period?

Based on the following response while performing a square wave test, the nurse would complete which interventions? Select all that apply.