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A nurse caring client presents to the ED with chest pain 7/1…

A nurse caring client presents to the ED with chest pain 7/10 and nausea. The ECG shows T wave inversion in the inferior leads, and troponin I is elevated. Which statement is correct regarding cardiac catheterization in NSTEMI client?

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The physician ordered Heparin 1200 units/hr. The nurse recei…

The physician ordered Heparin 1200 units/hr. The nurse received Heparin 45,000 units in 500 mL from the pharmacy. What is the calculated flow rate in mL/hr Round to the nearest whole number

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A client with a confirmed hemorrhagic stroke arrives at the…

A client with a confirmed hemorrhagic stroke arrives at the emergency department. The nurse notes a systolic blood pressure of 180 mm Hg and observes slight left-sided weakness. Which action should the nurse take next?

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A nurse wants to implement an evidence-based protocol to red…

A nurse wants to implement an evidence-based protocol to reduce catheter-associated urinary tract infections but feels unsupported by management and unsure how to proceed. Which EBP barrier is this nurse experiencing?

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A client on mechanical ventilation is receiving care to prev…

A client on mechanical ventilation is receiving care to prevent ventilator-associated pneumonia (VAP). During assessment, the nurse notes visible secretions in the endotracheal tube, wheezing in the upper lung fields, and an oxygen saturation of 92%. Which priority action should the nurse take?

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(see below rhythm) A client with sudden-onset palpitations p…

(see below rhythm) A client with sudden-onset palpitations presents with a heart rate of 176 beats/min. The client is alert, speaking in full sentences, and has a BP of 118/72 mm Hg. The nurse has the client perform coughing and a Valsalva maneuver, but the rhythm remains unchanged. What is the nurse’s priority action? Picture 16 Premature supraventricular tachycardia .png

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An unresponsive 79-year-old client is brought to the emergen…

An unresponsive 79-year-old client is brought to the emergency department during a summer heat wave. Assessment reveals a core temperature of 105.4°F (40.8°C), blood pressure of 88/50 mm Hg, and pulse of 112 beats/min. Which priority action should the nurse implement?

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A client receiving mechanical ventilation becomes agitated a…

A client receiving mechanical ventilation becomes agitated and suddenly self-extubates. The nurse enters the room and finds the client coughing forcefully, with oxygen saturation dropping to 84%, tachypnea, and use of accessory muscles. What is the nurse’s priority action?

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The nurse is preparing a client for the insertion of a radia…

The nurse is preparing a client for the insertion of a radial arterial line. Which action is most important to perform prior to the procedure?

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A client is receiving continuous heparin infusion for a pulm…

A client is receiving continuous heparin infusion for a pulmonary embolism. The nurse notes the client has new onset of hematuria and a blood pressure of 88/52 mm Hg. Which action should the nurse complete first?

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