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NGN-RN Complete Package (S3)
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The nurse is caring for a client with a newly diagnosed deep vein thrombosis (DVT). The physician has ordered heparin IV at a rate of 0.3 units/kg/min. The client is 250 lbs. The pharmacy sends 25,000 units of heparin in a 500 mL bag of D5W. What rate (mL/hr) should the nurse set the IV pump at? Record your answer to one decimal place.
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The nurse is caring for a client on thrombolytic therapy following an acute myocardial infarction (MI). Follow-up from the nurse is required if the student nurse states that priority actions and assessments when monitoring for complications include:
A nurse is examining one of their client's Electrocardiogram (ECG) strips. The nurse notices a repetitive sawtooth pattern and a variable P wave (PR) interval.
Which of the following dysrhythmias should the nurse suspect?
The nurse is reviewing the chart of a client with cardiomyopathy. The nurse notices a history of aortic stenosis, hypertension, and a family history of cardiomyopathy. Based on this information, which type of cardiomyopathy does the nurse suspect the client has?
Which statement made by the student nurse indicates a need for further teaching?
The nurse is caring for a client experiencing decreased cardiac output (CO) in response to a cardiac dysrhythmia
Follow-up is required if the nurse identifies that clinical manifestations of decreased CO include:
The nurse is working with an unlicensed assistive personnel (UAP) to care for a client who is about to undergo percutaneous coronary intervention (PCI). Which of the following interventions assigned to the UAP would require follow-up?
The nurse is caring for a client who has been treated with an antidysrhythmic drug. The client was on cardiac monitoring, but the monitor has malfunctioned. Which of the following parameters is it most important for the nurse to monitor?
A nurse is caring for a client who has developed sinus bradycardia.
Which of the following medications should the nurse anticipate the physician prescribing?
A nursing student, supervised by their preceptor, is caring for a client with aortic regurgitation. The client tells the student that they experience fatigue and shortness of breath when they exercise. Which of the following statements made by the student nurse to the client regarding management of this finding would cause the preceptor to intervene?