The client is complaining of abdominal pain and back pain.  They appear restless and diaphoretic. The nurse auscultates a bruit in the abdomen.  The client’s vital signs: Blood pressure 95/60 mmHg, Heart rate 140 beats per minute, Respiratory Rate 30 breaths per minute, SpO2 88%.  The nurse suspects the client is experiencing a: 

The nurse is caring for a client with a history of Cystic Fibrosis. Upon assessment, the nurse notes: Yellowing of the sclera, reports nausea and vomiting. The vital signs: 110/85 mmHg, heart rate 110 beats per minute, SpO2 98% on Nasal Cannula 2L/min.  The nurse should review the Medication Administration Record (MAR) for this type of medication and notify the provider: 

The nurse started Dobutamine intravenous continuously for a client that experienced an Acute Myocardial Infarction and consequently heart failure. The nurse recognizes the mechanism of action of this medication is:  

The nurse is caring for a client with an Intra-Aortic Balloon Pump (IABP) in the Intensive Care Unit (ICU).  The nurse assesses the insertion site of the IABP via the left femoral artery.  The nurse then assesses the client’s pedal pulses. The nurse notes the left pedal pulse and diminished in strength and the foot appears pallor.  What is the most appropriate action based on the assessment findings? 

Social Security (e.g., for retirement):

The client is admitted with shortness of breath, diaphoresis and fatigue and blood pressure 85/50 mmHg and heart rate 50 beats per minute. The nurse connects the cardiac monitor to the client and recognizes the client is in Second Degree Heart Block Type 2.  What is the most appropriate action of the nurse?    

At the Federal level, mandatory spending:

The nurse walks in the room and views the cardiac monitor rhythm as Ventricular Tachycardia.  The nurse next assesses the client as nonresponsive and pulseless.  Which action should the nurse take first?

The nurse is caring for a client with an Aortic Aneurysm in the Intensive Care Unit (ICU).  The nurse has orders to keep the systolic blood pressure between 100 to 120 mmHg and Heart rate equal to and/or above 55 beats per minute with administration of intravenous of Labetalol (Trandate). The nurse is allowed to titrate the Labetalol according to the parameters.  The nurse checks the client’s vital signs: 110/60 mmHg, Heart Rate 49 beats per minute, SpO2 98%, Respiratory Rate 18 breaths per minute.  The client is responsive and oriented. What is the most appropriate action of the nurse?

The Edgewood v. Kirby case in Texas: