A patient with ST segment elevation in several electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question should the nurse ask to determine whether the patient is a candidate for fibrinolytic therapy?

The nurse is providing discharge teaching for a patient with heart failure who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide (HydroDIURIL). What are the appropriate instructions for the nurse to include in the teaching?

During shift report, the telemetry technician brings you, the RN, the following strip on a client with a newly implanted pacemaker with Implantable Cardioverter Defibrillator (ICD). The RN most correctly interprets this as

A patient is given cardiopulmonary resuscitation (CPR) until the defibrillator is ready. Arrange these interventions in the order in which the nurse should perform them.

Which assessment data obtained by the nurse when caring for a patient with a left radial arterial line indicates a need for the nurse to take action?

Common symptoms of cor pulmonale are (select all that apply)

According to ACLS protocol, first line treatment for ventricular tachycardia with no palpable pulse is:

While providing care to a client recovering from a myocardial infarction, the nurse notices the client’s new cardiac rhythm above. The nurse is aware that this rhythm may be treated with: (SELECT ALL THAT APPLY)

A patient is in atrial fibrillation that has been unresponsive to anti-dysrhythmic drug therapy for several days.  What further treatment will the nurse anticipate?

Please use the Heparin Protocol to answer the questions. WEIGHT ADJUSTED HEPARIN PROTOCOLLab Orders: STAT: PT, INR, PTT, CBC STAT: PTT 6 hours after any Heparin BOLUS or rate adjustment. PTT every 6 hours until two (2) consecutive PTTs are therapeutic (46 to 70). Then change PTT to every 24 hours. Stop Heparin infusion if platelet count is less than 100,000 or platelet count drops by 50% pre-Heparin level, and notify healthcare provider. STEPS IN CALCULATING HEPARIN DOSAGE (INITIAL DOSAGE) Change weight in pounds to kilograms. Calculate IV Bolus Heparin at 80 units/kg (80 units per kg). On hand: Heparin 5000 units/1 ml Calculate IV Heparin continuous infusion at 18 units/kg/hr (18 units per kg per hr). On hand: Heparin continuous infusion 25,000 units in 250 ml D5W. Adjust Heparin infusion rate based on the sliding scale below (after the initial dosing and based upon subsequent PTTs): PTT UNITS OF HEPARIN 90 STOP Heparin for 1 hour, Then reduce Heparin infusion by 3 units/kg/hr.   A 295 pound patient is currently on a Heparin drip at {x} ml/hr. The current lab is: PTT 88. The new infusion rate will be ___________ ml/hr. Record your answer using 1 decimal place(s). Enter only a number in the blank.