39. Mrs. Wilson, a 79-year-old woman with a history of hypertension and heart failure, is admitted to the medical-surgical unit for shortness of breath and fatigue. On your morning assessment, you note that she is alert but appears slightly confused. Her skin is pale and cool to the touch. She reports feeling “fluttering in her chest” and being more tired than usual. Her vital signs are: BP: 138/92 mmHg HR: 132 bpm (irregular) RR: 22/min SpO₂: 91% on room air Temp: 98.1°F (36.7°C) Telemetry shows an irregularly irregular rhythm with no identifiable P waves, a narrow QRS complex, and a rapid ventricular rate. The monitor flags the rhythm as atrial fibrillation with RVR (rapid ventricular response). Which of the following is the most serious complication Mrs. Wilson is at risk for due to her atrial fibrillation? A. Chronic fatigue and decreased mobilityB. Development of bradycardia requiring a pacemakerC. Formation of a thrombus leading to a strokeD. Fluid retention and peripheral edema  

46. Which of the following findings should the nurse recognize as an early sign of hypovolemic shock in a postpartum client with hemorrhage?  

Futuro: Escriba sus respuestas con frases completas y usando las formas correctas del futuro. á  é  í  ó  ú   ñ  ¿  ¡                                                        “En el año 2035” ¿Cuántos años tendrás tú? ¿y tus papás?  ¿En qué trabajarás y dónde vivirás?  ¿Estarás casado/a, soltero o divorciado? ¿Con quién? ¿Tendrás hijos? ¿Cuántos y qué serán?  ¿Qué harás para divertirte?  ¿Tus compañeros y tú vendrán a PLNU para visitar a veces?  ¿Cómo será el mundo en el año 2035?  Escriba un mínimo de 3 frases usando diferentes verbos en futuro.

Es una celebración especial de los 15 años

La oficina del doctor se llama así

La acción de llevar los platos al final de la cena

You are an AGACNP working on a rapid response team evaluating a patient with a suspected acute heart failure exacerbation. Which chest X Ray finding is diagnostic for an acute heart failure exacerbation?

You are an AGACNP working on an Orthopedic Trauma Service and you are called to evaluate a patient status post open reduction and internal fixation (ORIF) of a femur fracture. The nurse paged you as the patient is endorsing 10/10 poorly controlled pain and numbness and tingling. What is your primary concern for this patient?

You are an AGACNP working on a Hospital Medicine Service and you note a 35-year-old male who has been hospitalized for renal failure of unclear etiology has had episodes of severe hypertension with notably labile blood pressures. Overnight the cross-cover provider was paged for evaluation of the patient complaint of headache, tachycardia, and palpitations. Which of the following is an appropriate order to screen for your most suspected pathology?

You are an AGACNP who is called by a bedside RN to evaluate a 66-year-old male patient who had a near syncopal episode in the hospital. You palpate a radial pulse and note the pulse to be slow and thready. A bedside monitor is applied with the following rhythm:On exam the patient is profusely diaphoretic, pale, and blood pressure is 60/30. What is your best intervention at this time?