A client converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 144 bpm. Blood pressure is 162/74 mm Hg. Respiratory rate is 20 breaths per minute with normal chest expansion and clear lungs bilaterally. IV heparin and Diltiazem (Cardizem) are administered. The nurse caring for the client understands that the main goals of treatment include all of the following except:

A postoperative client is admitted to the intensive care unit (ICU) with hypovolemic shock. Which nursing action will the nurse delegate to certified nursing assistant? 

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]

An emergency department triage nurse is evaluating a patient reporting general malaise. The assessment reveals jaundice and increased abdominal girth. Which question would best help determine the cause of the patient’s symptoms? 

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?

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:

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?  

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?

The mass you are imaging has a diameter of 35 mm.  This value can also be expressed as: