Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?.

After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?.

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension.

While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

While auscultating a patient's heart sounds, a nurse detects a fourth heart sound (S4). The nurse understands that this finding possibly indicates:.

A patient has pain due to acute pericarditis. Which action would the nurse take?.

A nurse is caring for a client who has heart failure.

Nurses' Notes.

Day 1: Vital Signs.

Bilateral breath sounds clear and present throughout.

Weight 80 kg (176 lb). Urine output 480 mL/8 hr. Day 4: Breath sounds scattered, crackles heard bilaterally.

Apical heart rate rapid and irregular.

Audible S3 gallop.

Weight 82.1 kg (181 lb). Urine output 320 mL/8 hr. Vital Signs.

Day 1: Temperature 37.6° C (99.7° F). Blood pressure 108/50 mm Hg. Pulse 98/min.

Respiratory rate 20/min.

Pulse oximetry 95% on room air.

Day 4: Temperature 36.8° C (98.2° F). Blood pressure 138/80 mm Hg. Pulse 112/min.

Respiratory rate 28/min.

Pulse oximetry 88% on room air.

A nurse is reviewing the assessment findings for the client on day 4. Which of the following findings requires further action? (Select all that apply.).

The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

A nurse on a cardiac care unit is caring for a preschooler.

Nurses' Notes.

Hospital Day 1. 1738: Received 4-year-old child with an exacerbation of heart failure.

Family reports history of congenital mitral stenosis.

Breath sounds with wheezing noted in bilateral lower lobes.

Nonproductive cough noted.

Dyspnea with respiratory rate 30/min.

Oxygen at 2 L/min applied per nasal cannula.

Telemetry applied: Sinus rhythm at rate 116/min.

Abdomen soft, nontender.

Bowel sounds positive all 4 quadrants.

Lower extremities with 2+ edema noted.

Pedal pulses palpable bilaterally.

Peripheral saline lock intact to right forearm with no signs and symptoms of infection.

Weight 20 kg (44 lb). 2015: Increase in dyspnea noted with orthopnea.

Nasal flaring with respiratory rate of 36/min.

Lung sounds with wheezing noted throughout.

Lower extremity edema 3+ to bilateral lower extremities.

Extremities cool with decreased skin pigmentation noted.

Peripheral pulses weak bilateral.

Jugular vein distention noted.

Provider notified.

Received prescription for additional dose of IV furosemide.

Medication Administration Record.

Hospital Day 1: Furosemide 40 mg IV every 6 hr. Administered at 1755.

Give digoxin 250 mcg IV now.

Administered at 1800.

Hospital Day 2: Give digoxin 125 mcg 12 hr after initial dose.

Administered at 0608.

Give digoxin 125 mcg 12 hr after second dose.

Administered at 1804.

Furosemide 10 mg IV now.

Administered at 2020.

Vital Signs.

Hospital Day 1. 1738: Temperature: 36.7°C (98.0°F). Pulse rate: 114/min.

Respiratory rate: 30/min.

Blood pressure: 92/65 mm Hg. Oxygen saturation: 90%. 2015: Temperature: 36.9°C (98.4°F). Pulse rate: 120/min.

Respiratory rate: 36/min.

Blood pressure: 86/54 mmHg.

Oxygen saturation: 86% room air.
select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1? and Target 2?.

The nurse is providing teaching about the patient's laboratory values that increase the risk for coronary artery disease (CAD). Which of the following values should the nurse prioritize?.

A patient who has chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. Which action would the nurse take first?.