A client returns to the Intensive Care Unit after an open mi…
A client returns to the Intensive Care Unit after an open mitral valve replacement with a mechanical valve. The client is intubated, sedated, and showing a normal sinus rhythm on the cardiac monitor. Oxygen saturation is at 92%, pulse 96 bpm, MAP 58 mm/Hg, and temperature 38.0°C (100.4°F). What is the priority nursing action?
Read DetailsA client with acute mitral valve regurgitation and a history…
A client with acute mitral valve regurgitation and a history of heart failure reports chest pain and feeling “suffocated”. 10L of oxygen is applied via a non-rebreather mask. BP 98/70, pulse 140, and oxygen saturation at 75%. Productive cough with frothy blood-tinged sputum and sternal retractions are noted. What is the best nursing action?
Read DetailsA client presents to the Emergency Department with severe ch…
A client presents to the Emergency Department with severe chest pain and is diagnosed with a 7.1 cm aortic arch aneurysm. The client is tearful and appears anxious. Vital signs are blood pressure 132/89 mm/Hg, heart rate 98 bpm, and pulse oximetry 96%. Which provider orders should the nurse anticipate for this client? For each potential provider order, specify if it is indicated or contraindicated.Provider OrdersIndicatedContraindicatedMorphine 2mg IVP ☐☐0.9% NaCl at 500 mL/hr☐ ☐Dim the lights and maintain a quiet environment ☐ ☐Metoprolol 5 mg IVP ☐ ☐Answer the client’s questions ☐ ☐Norepinephrine 0.03 mcg/kg/min☐ ☐
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