Sp26 504w Advanced Med Surg Proctored Exam (Massachusetts College)

A client is prescribed diltiazem for the treatment of a cardiac disorder. Which finding would require the nurse to hold the ordered dose and notify the provider for further orders?

A client who has undergone an Automatic Implantable Cardioverter Defibrillator (AICD) procedure asks the nurse about the purpose of this device. What is the nurse's best response?

A nurse is caring for a client with acute pericarditis who reports substernal precordial pain that radiates to the left side of the neck. Which nonpharmacologic comfort measure would the nurse impleme

The nurse is interpreting cardiac monitoring on the rhythm below. What non-invasive priority action the nurse would take based on the rhythm?

The nurse is reviewing the electrocardiogram (ECG) of a client admitted for acute pericarditis. Which ECG change does the nurse anticipate?

How would the nurse document the heart rhythm shown on this EKG strip?

The nurse is providing discharge education to a client status post mechanical mitral valve replacement. Which statement made by the client indicates the need for further education?

A client is diagnosed with a 3-cm abdominal aortic aneurysm (AAA). What would the nurse include in teaching as the best nonsurgical intervention to decrease the risk of rupture of an aneurysm and to s

A client is scheduled for coronary artery bypass surgery (CABG) tomorrow morning and is currently receiving Nitroglycerin 20 mcg/minute IV. The client reports a new onset of chest pain with a severity

The nurse is caring for a client with a central venous pressure (CVP) monitoring line and is assessing right ventricular function and venous blood return. The results show a decreased central venous p

The nurse has just received a change-of-shift report for 4 clients on the coronary step-down unit. Which client will the nurse assess first?

The nurse on the telemetry unit is watching the electrocardiogram (ECG) monitor at the nurses' station when the alarm sounds. The nurse observes the client's ECG in the image. The nurse checks on the

The client's telemetry reading shows a "P" wave before each QRS complex and has a heart rate of 70. Which action would the nurse implement?

A nurse in an urgent care center is assessing a client who reports sudden-onset palpitations, fatigue, and dizziness. The nurse assesses a rapid, irregular heart rate with a significant pulse deficit

The nurse is caring for a client who is 6 hours post operative, and 4 hours post extubation following coronary artery bypass grafting (CABG) surgery. What nursing interventions are appropriate at this