The nurse caring for a type 1 diabetic patient who wishes to become pregnant notes that the patient’s glycohemoglobin, or glycosylated hemoglobin (HgbA1c), result was 8% today and the fasting blood glucose result was 105 mg/dL. Which of the following interpretations by the nurse is correct in relation to this data? 

The nurse assesses vital signs to be blood pressure 80/50 mm Hg, heart rate 135 beats/min, respirations 36 breaths/min, central venous pressure (CVP) 1mm/Hg, cardiac output (CO) of 2 L/min, systemic vascular resistance (SVR) of 3000 dynes/sec/cm-5, and a hematocrit of 20% (referance range: Normal 35%-45%). The nurse should question which of the following orders from the physician?

A 72-year-old female with a history of hypertension and smoking presents with intermittent episodes of severe, tearing chest pain radiating to her back. On examination, the nurse notes diminished pulses in the lower extremities and a difference in blood pressure between the arms and legs. An echocardiogram reveals an aortic dissection involving the ascending aorta. Which of the following interventions is the nurse’s priority?

Patient: Miranda Lewis The nurse cares for a 32-year-old Gravida 2 Para 1 client who is 35 weeks gestation. She presents to the antepartum complications floor directly from her physician’s office. She is complaining of a headache, visual disturbances, and right upper quadrant pain.   09/02/XX 1000: Client admitted to the antepartum unit with complaints of headache, blurred vision, and pain in right upper quadrant region. VS: BP 162/112, HR 90, RR 18, T 98.6F (37C), O2 97% on room air. Alert, awake, moderate distress. Patient states “Blurred vision started when I woke up this morning.” Abdomen soft, tender in RUQ. Reflexes 3+ bilaterally in lower extremities. 2+ pitting edema noted bilaterally in lower extremities. Client sitting up in bed with husband at the bedside. Labs pending.   Based on the client’s clinical manifestations, which laboratory findings does the nurse anticipate? Select all that apply.

The nurse cares for a 60-year-old male admitted to the Emergency Department with chest pain.   The nurse receives the orders above. Which medication classification would be most effective at restoring blood flow to the cardiac muscle?

The obstetric nurse is managing her patients while covering for another nurse who is on a break. Which patient is the lowest priority? 

A nurse is preparing to administer beractant to a premature infant who has respiratory distress. The nurse plans to administer this medication by which of the following routes? 

A woman, G2 P1, is receiving oxytocin via IV pump at 3milliunits/min. Her current contraction pattern is every 3 minutes lasting 45 seconds with moderate intensity. The fetal heart rate is 150-160 bpm with moderate variability. Which of the following interventions is appropriate at this time?

A 28 year old client at 28 weeks gestation presents with uterine contractions every 2 to 3 minutes. Which medications could be ordered to administer for preterm labor? Select all that apply. 

The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings does the nurse know that the newborn is at increased risk of? Select all that apply.