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

During a sonographic examination of a large vessel, a 450 beam to vessel angle would be called:

A 56-year-old patient presents to the ED with substernal chest pain. The following orders are placed. Which order is the priority for the nurse to complete?   

A nurse is assessing a patient suspected of experiencing anaphylactic shock. Which of the following symptoms is the most concerning and requires immediate intervention?

A nurse is assessing a patient at risk for pressure ulcers. Which finding is most consistent with a Stage 1 pressure ulcer?