The nurse is providing care to a client that received fibrinolytic therapy for a ST segment elevation myocardial infarction (MI). Which statement from the client warrants immediate assessment and intervention by the critical care nurse?

A director of a med-surg unit asks employees for recommendations to save costs on the unit. The staff decides which cost saving measures will be implemented and monitors for effectiveness. What type of leadership style is being demonstrated by the director?

The nurse is caring for a client on telemetry. The client has a saw-toothed P wave and a ventricular rate of 70 on an electrocardiogram (ECG) strip. There is no PR interval and the QRS complex 0.06. How will the nurse correctly interpret this ECG strip?

Which action by the nurse is most important to prevent becoming exposed to the human immune deficiency virus (HIV)?

A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication?

Which rhythm and assessment findings would be an emergency indication for the application of a transcutaneous pacemaker?

The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 186 beats/minute. The nurse determines that the client is experiencing which dysrhythmia?

A client is admitted to the emergency department (ED) pale, diaphoretic, and complaining of a racing heart rate. The ED nurse places the client on the monitor in the room. The client is in an irregularly irregular narrow QRS complex rhythm with a rate of 180 beats per minute and a blood pressure of 76/42 mm Hg. What will the nurse prepare to do first?

The nurse is caring for a client whose ventilator settings include 15 cm H2O of positive end-expiratory pressure (PEEP). What complication will the nurse assess the client for?

A client is admitted to the hospital with dehydration with intractable nausea and vomiting. The nurse assesses vital signs to be BP 78/50 mm Hg, heart rate 135 beats/min, respirations 26 breaths/min, and a hematocrit of 54%. The nurse anticipates administration of which the following medications?