The nurse is caring for a client with acute respiratory distress ARDS who is receiving mechanical ventilation and positive end-expiratory pressure PEEP. The alarm sounds, indicating high-pressure alarm in the system. What is the nurses best action?

The nurse is caring for a patient with heart failure. Which interventions should the nurse include in the plan of care? Select all that apply

A patient develops the following dysrhythmia and complains of dizziness. Which action should the nurse take first?

Which teaching point will the nurse include when providing discharge instructions to the patient with a new permanent pacemaker? Select all that apply

The home health nurse is caring for a patient with heart failure. Which assessment finding should the nurse report immediately to the physician?

The nurse is caring for a male patient with angina who has a new prescription for sublingual nitroglycerin. What information is most important for the nurse to include in the teaching plan?

The nurse assesses a friction rub in a patient who is 2 days post-myocardial infarction (MI). The nurse recognizes this finding indicates which problem?

The nurse will plan discharge teaching about the need for prophylactic antibiotics when having dental procedures for which patient? Select all that apply

A patient who presented to the emergency room with a myocardial infarction (MI) becomes pale, diaphoretic, and hypotensive. What action should the nurse take first?

The nurse is performing an initial assessment on a new patient with suspected right-sided heart failure. Which findings are consistent with the patient's potential diagnosis? Select all that apply

After receiving a report on the following patients, which patient should the nurse assess first?

The nurse in a skilled nursing facility is caring for a 80 year-old patient who develops a productive cough with pink, frothy sputum. Which independent interventions should the nurse implement immediately?

Which factors are potential causative agents for arrhythmias? Select all that apply

During the acute phase following a MI the nurse anticipates that the patient may require a temporary pacemaker in what situation? Select all that apply

When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicates the need for immediate action by the nurse?

The student nurse is planning care for a patient with a recent spinal cord injury. Which intervention indicated that the student nurse requires further instruction regarding appropriate care for this patient?

A patient with a suspected herniated intervertebral disc is scheduled for a myelogram. Which information is most important for the nurse to communicate to the health care provider before the procedure?

Following a craniotomy to relieve increased ICP, which implementation should the nurse implement?

When taking care of a patient who had a left hemisphere stroke, which nursing diagnosis can the nurse establish for the patient? Select all that apply

The nurse is caring for a patient with bacterial meningitis. What interventions should the nurse include in the plan of care? Select all that apply

The nurse is writing the care plan for a cerebrovascular accident (CVA) patient who has a partial left sided paralysis and is experiencing ataxia. Which intervention is most beneficial for this patient?

The patient scheduled for a PET (positron emission tomography) scan of the brain asks if there is any special preparation for the test. The nurse correctly responds with which statement? Select all that apply

The nurse documents which sign(s) of basilar skull fracture in a patient with a closed head injury? Select all that apply

The nurse is caring for a patient with a complete transection of the cord at C7. The patient asks the nurse what functions he will be able to perform. The nurse responds that the patient will most likely be able to perform which activities? Select all that apply

The nurse is caring for a patient with autonomic dysreflexia (AD). The nurse should assess the patient for which conditions or situations? Select all that apply