A nurse is caring for a client diagnosed with pneumonia, dehydration, and a temperature of 101.4º F. The health care provider orders 1000mL of D5W to infuse over 8 hours. The calibration set is 20 drops/mL. The nurse will set the IV flow rate to deliver how many drops / minute? Round your answer to the nearest whole number.

Mr. Jameson, a 62-year-old male, arrives at the emergency department with crushing substernal chest pain that started 45 minutes ago while he was watching television. He describes the pain as “pressure-like,” radiating to his left arm and jaw. He is diaphoretic, pale, and anxious. His wife states that he has a history of hypertension, hyperlipidemia, and type 2 diabetes. Vital Signs on Admission: BP: 150/90 mmHg HR: 110 bpm, irregular RR: 22 breaths/min SpO2: 94% on room air Current Medications: Lisinopril 10 mg daily Metformin 500 mg BID Simvastatin 20 mg daily Diagnostic Findings: ST-segment elevation noted on ECG Troponin level pending The healthcare provider orders the following: Oxygen at 2 L/min via nasal cannula Nitroglycerin sublingual, every 5 minutes PRN for chest pain Aspirin 325 mg, chewable Morphine sulfate 2 mg IV PRN for pain Metoprolol 5 mg IV Prepare for percutaneous coronary intervention (PCI) Which is the priority intervention?

Which foods are recommended in Heart-Healthy Diet? Select all that apply 

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The client with coronary artery disease and chest pain is prescribed transdermal nitroglycerin, a coronary vasodilator.  Which behavior indicates that the client understands the discharge teaching concerning this medication?

The nurse is caring for a 63 year old female with history of hypertension and complaints of shortness of breath.  Day 1: Bilateral breath sounds clear and present throughout, Weight 80kg(176 LB), Urine output 480ml/8 hours. Vital Signs: Temp-99.7, BP 108/50, Pulse 98, Resp rate-20, O2S at 95% Room Air. Day 4: Breath sounds scattered, crackles heard bilaterally. Apical heart rate rapid and irregular. Audible s3 Gallop. Weight 82.1kg(181 LB). Urine output 320ml/8 hours. Vital Signs: Temp-98.2, BP 138/80,  Pulse 112, Resp rate-28, O2Sat 88% Room Air.  Which of the following lab values based upon patient presentation would you expect to be abnormal? SELECT ALL THAT APPLY.

The cardiac care nurse is calculating the total fluid intake for a client with heart failure. The client has received 880mL of D5W, an IV of 100mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480mL. What is the total intake in mL for this client? Record your answer as a whole number. Please be sure to follow math guidelines- do not include mL in your answer, do not use trailing zeros, do not use commas.

A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take?SELECT ALL THAT APPLY.

A client taking an ACE inhibitor has developed a dry, hacking cough.  Because of this side effect, the client no longer wants to take that medication.  What medication that has similar hemodynamic effects does the nurse anticipate the health care provider ordering?

The client is scheduled for an implantation of a prosthetic valve for their severe mitral stenosis.  Which statement best indicates that this client understands the purpose of the valve replacement?