In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?

The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)

Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?

The normal PR interval is:

A recommended position for a patient in acute pulmonary edema is:

You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

A nurse is caring for a client who has multiple sclerosis. Which of the following factors should the nurse anticipate have been identified as contributing to the development of multiple sclerosis? (Select all that apply.)

A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the floor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

A nurse receives a unit of packed RBCs from a blood bank and notes that the time is 11:30. The nurse should begin the infusion at which of the following times?