The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse would assess the infant for which early sign of HF?

A patient presents to the emergency department with severe abdominal and lower back pain. Assessment reveals a palpable pulsating mass near the umbilicus. Blood pressure is 82/48 mm Hg, heart rate 128/min, and the patient appears pale and diaphoretic. Which nursing action is priority?    

A patient with stable angina has been prescribed sublingual nitroglycerin 0.4 mg PRN for chest pain.  The patient calls the clinic and reports, “I took one tablet under my tongue when I had chest pain while gardening. The pain went away after a few minutes, but now I have a terrible headache. Which response by the nurse is most appropriate?    

A nurse is caring for a 4-year-old child admitted with Kawasaki disease. Which intervention is most important for the nurse to ensure is completed to reduce the risk of coronary artery complications?

The knot is the ________ part of the suture.

A nurse is assessing a child with suspected acute rheumatic fever. Which symptom demonstrated by the patient is indicative of this disease?

If two chest tubes are placed in one thoracic cavity.  What is the superior tube suctioning and what is the inferior tube suctioning? (Both are one word answers.) Superior =Inferior =

A patient’s blood pressure is 156/92 mm Hg during a routine clinic visit. The patient states, “I feel fine. What is wrong with this blood pressure?” What is the nurse’s best response?    

What type of needle is used for a suture ligature?

When providing retraction it is recommended that you “toe in”.