The nurse receives laboratory results on 4 patients. Which result should the nurse address first?
A. A patient being treated for heart failure with a
... [Show More] potassium of 2.6 mEq/L
B. A patient who is 24 hours S/P Total Knee Replacement with a hemoglobin of 9.1 mg/dL
C. A patient on Warfarin for atrial fibrillation with an INR of 3.3
D. A dialysis patient with a creatinine of 5.7 mg/dL correct answers A. A patient being treated for heart failure with a potassium of 2.6 mEq/L
The nurse is preparing to administer medications to a group of patients. Which medication should the nurse give first?
A. A PRN dose of lorazepam for a patient experiencing anxiety
B. An IV bolus of diltiazem for a patient in atrial fibrillation with a heart rate of 150
C. A dose of lisinopril for a patient with hypertension and a BP of 168/94 mmHg
D. A dose of sliding scale insulin aspart for a diabetic patient with a blood glucose of 310 mg/dL correct answers B. An IV bolus of diltiazem for a patient in atrial fibrillation with a heart rate of 150
The nurse is planning care for a patient with chronic COPD who is admitted for an acute myocardial infarction. Which nursing diagnosis would have the highest priority?
A. Risk for ineffective airway clearance R/T excessive pulmonary secretions AEB productive cough
B. Ineffective individual coping R/T acute illness AEB patient statement of distress
C. Ineffective myocardial tissue perfusion R/T coronary occlusion AEB elevated troponin
D. Risk for fall R/T nitroglycerin drip correct answers C. Ineffective myocardial tissue perfusion R/T coronary occlusion AEB elevated troponin - acute vs. chronic, actual vs. potential
The nurse is caring for a patient with heart failure. The patient reports worsened shortness of breath. Which of the following actions should the nurse take first?
A. Increase the flow rate of the O2
B. Check the SpO2 and auscultate the lungs
C. Request an order for a stat dose of IV furosemide
D. Encourage the patient to use pursed lip breathing correct answers B. Check the SpO2 and auscultate the lungs - assess before intervene
The RN cannot delegate what 3 things? correct answers 1. evaluation
2. assessment
3. teaching
The charge nurse is planning client care for a patients on a cardiac unit. Which patient is most appropriate for the LPN to care for? [Show Less]