The nurse in the emergency department is caring for a client with acute heart failure who is experiencing severe dyspnea. The nurse reviews the medical record, which contains the following information: Physical Assessment Diagnostic Findings Provider Orders Crackles in all lung fields S3 gallop present Heart rate 98 Oliguria BP 136/98 Ejection fraction 30% BNP 1000 pg/mL Na= 134 mEq/l Potassium= 4 mEq/L Enalapril 10 mg PO daily Heparin 5000 units subcutaneously every 12 hours Furosemide 40 mg IV BID Strict I&O Which one of the provider’s orders should take priority?

Which of the following conditions may result in a fourth heart sound (S4) over time?

The maternal newborn nurse formulates which of the following as a nursing goal for a newborn in transition within the first few hours after birth?

A new mother should be taught to support her baby’s head when holding the infant because:

An infant’s axillary temperature is 35.9 C (96.6 F). The priority nursing action is to:

Identify this cardiac rhythm and rate _________________________________

A mother is beginning to experience nipple discomfort while breast-feeding. The nurse’s first priority in the plan of care would be to:

The P wave and the QRS complex in an electrocardiogram (ECG) represent which of the following?

The nurse is teaching a client about the risk for bradycardia. What teaching will the nurse include?

The nurse tests the newborn’s Babinski reflex by doing which of the following?