A 36-year old patient with a history of Coronary Artery Disease (CAD), uncontrolled Diabetes Mellitus Type II (DM2), Hypertension (HTN), and Obesity has just been diagnosed with a myocardial infarction. The nurse understands that the most common complication associated with a myocardial infarction during the acute phase is which of the following.
A patient who has chronic heart failure tells the nurse, “I…
A patient who has chronic heart failure tells the nurse, “I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!” The nurse will document this assessment finding as
When reviewing the rhythm strip for a healthy 86-year-old pa…
When reviewing the rhythm strip for a healthy 86-year-old patient just admitted to the hospital for a routine procedure, which of the following will be of most concern to the nurse?
A patient has been admitted for new onset chest paint. They…
A patient has been admitted for new onset chest paint. They are pale, anxious, and diaphoretic. Vital signs are measured and result in a sustained heart rate of 136 beats per minute. The nurse understands that tachycardia occurring in response of the sympathetic nervous system to the pain of ischemia is detrimental because it increases oxygen demand and
When caring for a patient with renal failure on a low phosph…
When caring for a patient with renal failure on a low phosphate diet, the nurse will inform unlicensed assistive personnel to remove which food item from the patient’s food tray?
A patient has arrived for a scheduled hemodialysis session….
A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropriate for the registered nurse to delegate to a dialysis technician?
Which documentation of a patient’s mental status/behavior be…
Which documentation of a patient’s mental status/behavior best demonstrates a nurse’s observation?
When developing a health teaching plan for a 60-year-old man…
When developing a health teaching plan for a 60-year-old man with the following risk factors for coronary artery disease, the nurse should focus on which of the following?
A patient is brought into the emergency room experiencing ch…
A patient is brought into the emergency room experiencing chest pain. Vital signs are recorded as BP- 144/68, HR 111, O2- 98% on 1L, and T- 38.0C. A 12-lead electrocardiographic (ECG) has been completed and the results have been shared with you. Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a patient with chest pain?
The nurse is discussing care coordination with a patient. Th…
The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse’s best response?