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A client presents complaining of difficulty breathing and generalized weakness after having suffered chest pain for approximately 1 hour the previous night. Assessment data: Skin Pale, diaphoretic Breath Sounds equal, crackles throughout Perfusion Capillary beds dusky, jugular venous distention present, B/P 98/50 Pulse 118, thready Respirations 26, labored Temperature 98.6F Which condition is the patient suspected of suffering?

Twenty minutes after returning from a Cardiac Catherization for the treatment of an Acute Myocardial Infarction (AMI), the client’s monitor indicates the following.   Which action will the nurse anticipate?

A client has a long history of COPD and is admitted to the hospital with cor pulmonale. The client states, ”  The doctor told me that my heart is failing”.  “Did I have a heart attack?” The nurse explains to the client that

A client with a T2 spinal cord injury is beginning intensive rehabilitation. One morning as the nurse prepares to assist her to transfer to the wheelchair, the client tells the nurse that she does not feel like getting up, that she has a throbbing headache. It is most important that the nurse

A registered nurse (RN) is supervising a licensed practical nurse (LPN) caring for a client with a terminal illness and contemplating end-of -life (EOL) decisions.  Which statement by the LPN should be corrected by the RN? 

Following a craniotomy, a client has been admitted to the Neurological Intensive Care Unit. The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range. Which interventions should the RN include in the plan of care? (Select all that apply).

The nurse is caring for a client experiencing cardiogenic shock.  Anticipated interventions would include:

You are caring for a client who was admitted for advanced liver cirrhosis. The client has massive ascites, peripheral 2+ pitting dependent edema in the lower extremities, nausea and vomiting, and dyspnea related to pressure on the diaphragm. Excess Fluid Volume is noted, which indicator is the most reliable for tracking fluid retention?

As the triage nurse in a busy Emergency Department, the following four clients walk in the door at the same time. Which client should be seen first?

In preparation for discharging the client newly started on hemodialysis, the nurse determines that discharge teaching was effective if the client states which of the following?