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? 

The nurse is teaching the patient about open-heart surgery. Which of the following items is NOT part of the teaching plan?

A nurse is providing care for a patient with hyperthyroidism and exophthalmos. Which intervention is most appropriate to promote comfort for this patient? 

A patient is hospitalized with a possible diagnosis of Cushing’s syndrome. Which laboratory result would the nurse anticipate if the diagnosis is confirmed?