A 62-year-old patient is admitted to the medical surgical unit and just got back from their routine hemodialysis run. The patient states while getting to the chair, “I’m really dizzy.” Which action should you take first?  

The nurse is caring for a 70-year-old client who had a cardiac catheterization yesterday to confirm an MI and has completed discharge teaching using the teach-back method. This morning the nurse is evaluating the client’s understanding of the discharge plan of care. For each of the statements made by the client, specify whether the statement indicates an Understanding or Requires Further Education of the teaching provided. “I will take only my aspirin and not the clopidogrel.”: [statement1] “I will be sure to carry my nitroglycerin with me.”: [statement2] “I will exercise indoors only.”: [statement3]

A nurse is assessing a patient newly diagnosed with systemic lupus erythematosus (SLE). Which of the following should the nurse recognize as a cutaneous manifestation of SLE?

Describe competition and the principle of competitive exclusion; please be specific in your description.  In addition, contrast intraspecific and interspecific competition using named examples.

The nurse is completing discharge education with a patient who underwent a mechanical heart valve replacement. Which of the following statements by the client indicates understanding of the teaching?

When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse identifies a need for further education if the patient states:

https://mededu.azureedge.net/restricted/ekgtracingsRr/5.gif A patient’s heart monitor displays a pattern of varying contours and amplitude with no measurable ECG pattern. The nurse enters the room to see the patient is unresponsive and feels no palpable pulse. Which action should the nurse take first?

A nurse educator is creating a staff education for new hire nurses in the cardiac progressive care unit about infectious heart diseases.  Specify whether the following statement best indicates “PERICARDITIS” or “ENDOCARDITIS.” “My chest hurts when I use the incentive spirometer.”: [statement1] “I may see splinter hemorrhages on my patient’s nails.” : [statement2] “There is a scratchy, high-pitched sound heard during systole and diastole while listening to heart sounds.”: [statement3] “I may be more at risk because of my mechanical valve surgery.”: [statement4]

A nurse is calculating fluid resuscitation for an adult patient with 40% total body surface area (TBSA) burns using the Parkland formula. The patient weighs 70 kg. What is the total amount of lactated Ringer’s solution the patient should receive in the first 24 hours?

The transducers below are imaging a vessel at different angles.  The arrow indicates the direction of blood flow.  Which transducer will detect the largest Doppler frequency shift? Physics flow direction.png