A client post myocardial infarction is placed on a Heparin drip.  What is the purpose of this infusion?

A client is ordered Eptifibatide.  What would be an important assessment prior to the infusion?

A 62 y/o male is arriving from EMS with chest pain.   Nurse’s Note:  12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm.      Vital Signs:  98.4 F, HR – 99, RR – 18, BP 162/89, Pulse Ox: 93% on RA    ECG:  Sinus Tachycardia rate 99 bpm. ST elevation noted in V3 and V4    Laboratory Results:  Lab  Results  Reference Range:  WBC  9 x 10^3 cells/mm3  4500–11,000/mm3  RBC  5.3 × 106/μL  4.7-6.1 × 106/μL  Hgb  15.8 g/dL  Male: 14–17.4 g/dL  Hct  44%  Male: 42–52%  Plts  254,000/mm3  140,000–400,000/mm3  Na  144 mEq/L  135-147 mEq/L  Cl  104 mEq/L  95-106 mEq/L  K  4.8 mEq/L  3.5-5.3 mEq/L  CO2  29 mEq/L  22-30 mEq/L  BUN  12 mg/dL  6-20 mg/dL  Cr  1.1 mg/dL  0.6-1.3 mg/dL  Troponin T  0.7 ng/mL  0-0.04 ng/mL  Creatine Kinase MB (CK-MB)  187 IU/L  5-25 IU/L  Cholesterol  265 mg/dL  240 high    H&P:  62 y/o male lives independently at home with spouse of 40 years. Came in on 12/16/23 after shoveling snow c/o crushing sternal pain, radiating down the left arm. States he stopped shoveling after 30mins of pain, and the pain continued. The pain becomes worse with activity and started approximately two hours ago. Patient states he also became short of breath with activity.     Wt: 102.3 kgs  Ht: 5’9”  BMI: 33.2    PMH: DMII, HLD, GERD, Asthma, Sleep apnea, Smoker 1/2 pack per day    Family Hx:  Mother – Alive – DMII, CAD, CHF, COPD  Father – Deceased at 52 – MI, CAD  Sibling – Alive – CAD, DMII     Diet: High in carbohydrates, protein; poor in fresh fruits/vegetables.     Occupation: Owns own business – landscaping     Order:  Morphine 0.5mg IV  Aspirin 325mg PO  Nitroglycerin – titrate gtt per protocol  Metoprolol 50mg PO  Oxygen Therapy- maintain O2 > 92%, up to 6L  Thrombolytic Therapy per protocol  Monitor neuro status  Insert 2nd IV  What is the nurse’s priority action?  

A client is prescribed Diltiazem.  Which of the following is a therapeutic effect of this medication?

The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?

The nurse is caring for a client who has just undergone cardiac angiography. What is most important for the nurse to teach the client?

The signs/symptoms of alterations in which of the following laboratory values may be blocked in a client taking metoprolol?

 A nurse obtains the following information from a client with pre-hypertension. Which finding is most important to address with the client?

A client is admitted to the coronary care unit (CCU) with a diagnosis of myocardial infarction (MI). Which of the following nursing assessments is a priority on admission to the CCU?

 A nurse is caring for a client post Percutaneous Transluminal Coronary Angioplasty (PTCA) who has returned to the nursing unit with a large peripheral vascular access sheath in place. What is the priority nursing intervention?