The charge nurse quickly walks by and hands the rhythm strip below (1) to the nurse. The nurse then assesses the client as responsive and the telemetry leads falling of the client.  The nurse applies new telemetry leads. The nurse then looks up at the cardiac monitor and sees the following rhythm strip below (2).  What should the nurse most appropriately identify the first rhythm as in regards to the client’s condition and situation?  1. Rhythm strip:   2. Rhythm strip:   

A client is admitted for an ischemic stroke with onset of symptoms starting 2.5 hours ago. The physician ordered Tissue Plasminogen Activator (TPA) for administration. The nurse is reviewing the client’s medical history and chart. Which data should the nurse immediately notify the provider about? 

A 69 year old former coal miner presents with shortness of breath and his CT scan reveals extensive fibrosis in his lungs. Twenty minutes into his ER admission, his O2 saturation is 58% on 100% non-rebreather. He is intubated for hypoxic respiratory failure . The patient is put into Assist Control-Volume Control (AC VC), but his ventilator keeps alarming for high peak airway pressures, which is impacting his ability to receive ventilator delivered breaths. Given the history, physical, and radiologic findings, which of the following interventions would be most helpful in helping the patient synchronize with the ventilator?

The declaration of a friend function cannot be placed within the private part of the class.

When a finance lease is recorded at the signing of the lease, the lessee typically debits: 

Which of the following patients would warrant intubation? Select all that apply A. A patient admitted with shortness of breath secondary to pulmonary edema which the physician believes can be quickly reversed with a diuretic B. A patient with pneumonia whose blood gas is the following: 7.38/pCO2 40/pO2 88/ HCO3 26/O2 saturation 96% on 3L nasal cannula C. A patient found down pulseless in ventricular fibrillation D. A patient who sustained burns to the face, and inhaled a large amount of smoke, now breathing 37 breaths/min. E. An alcoholic who was found on the ground unconscious and is not waking up to sternal rub

Which of the following interventions should be completed within 1 hour of recognition of septic shock in an adult patient according to the Surviving Sepsis guidelines. Select all that apply: A. Lactic acid level collection B. Initiation of an inotrope infusion C. Administration of 60ml/kg of crystalloid fluids D. Blood culture collection E. Administration of IV antibiotics  

A 94 year old presents to the ER with shock secondary to urosepsis and is receiving 1L of 0.9% NSS started by the paramedic. On admission, her BP is 52/37 (MAP 42), HR 99 and the physician orders a vasopressor be ordered through her peripheral IV. The physician orders this vasopressor that stimulates beta-1 receptors at certain doses, and alpha-1 receptors at higher doses.

Which of the following is false concerning the identification of separate performance obligations?

 The nurse walks into the room and assesses the cardiac monitor rhythm strip below.  The nurse then assesses the client as unresponsive and no pulse.  The nurse identifies the rhythm as: