The nurse started Dobutamine intravenous continuously for a client that experienced an Acute Myocardial Infarction and consequently heart failure. The nurse recognizes the mechanism of action of this medication is:  

The client is admitted with shortness of breath, diaphoresis and fatigue and blood pressure 85/50 mmHg and heart rate 50 beats per minute. The nurse connects the cardiac monitor to the client and recognizes the client is in Second Degree Heart Block Type 2.  What is the most appropriate action of the nurse?    

The nurse is caring for a client with an Intra-Aortic Balloon Pump (IABP) in the Intensive Care Unit (ICU).  The nurse assesses the insertion site of the IABP via the left femoral artery.  The nurse then assesses the client’s pedal pulses. The nurse notes the left pedal pulse and diminished in strength and the foot appears pallor.  What is the most appropriate action based on the assessment findings? 

Social Security (e.g., for retirement):

At the Federal level, mandatory spending:

The nurse walks in the room and views the cardiac monitor rhythm as Ventricular Tachycardia.  The nurse next assesses the client as nonresponsive and pulseless.  Which action should the nurse take first?

The nurse is caring for a client with an Aortic Aneurysm in the Intensive Care Unit (ICU).  The nurse has orders to keep the systolic blood pressure between 100 to 120 mmHg and Heart rate equal to and/or above 55 beats per minute with administration of intravenous of Labetalol (Trandate). The nurse is allowed to titrate the Labetalol according to the parameters.  The nurse checks the client’s vital signs: 110/60 mmHg, Heart Rate 49 beats per minute, SpO2 98%, Respiratory Rate 18 breaths per minute.  The client is responsive and oriented. What is the most appropriate action of the nurse?

The Edgewood v. Kirby case in Texas:

Consider a city’s parks and recreation department. During executive preparation of the operating budget, agencies are often asked to provide two sets of requests: base budget and new needs (as defined in the lectures).  Which of the following is/are probably most appropriate for inclusion in the department’s base budget request for an upcoming fiscal year:

To reduce a budget gap for an upcoming fiscal year, a state decides to eliminate all optional services (e.g., dental services for adults)  in its Medicaid program.  It estimates that total Medicaid expenditures for optional services is about $100 million per year.  The Feds reimburse this state for 50% of all such expenditures.   So, eliminating such services suggests (assuming no adverse health impacts leading to other state budgetary health care costs):