The triage nurse assesses an anxious and diaphoretic 54-year old man who arrives at the ED complaining of severe, left-sided pressure like chest pain, and left arm numbness. The pain began 2 hours ago and is unrelieved by rest. He has no significant medical history. After initiating cardiac monitoring, the nurse administers oxygen at 2 liters/minute and establishes an IV line of dextrose 5% in water (D5W) at a KVO rate. The patient’s vital signs are blood pressure 120/60 mmHg, pulse rate 88 beats/minute and irregular, and respirations 20 breaths/minute. The cardiac rhythm shows normal sinus rhythm with occasional unifocal premature ventricular contractions (PVCs). The triage nurse suspects that this patient is exhibiting signs of a myocardial infarction (MI) because the chest pain:

The nurse understands that ACE inhibitors should be used with caution in patients with:

Which intervention would the nurse know to be inappropriate for a patient with left ventricularfailure?

You assess a patient’s blood pressure to be 90/60 mmHg and pulse rate 116 beats/minute and irregular. Based on the above vital signs, the nurse determines the patient’s pulse pressure to be:

Treatment of a patient with symptomatic complete heart block that is refractory to atropine typically includes:

Upon auscultation, the nurse detects a new crescendo decrescendo systolic murmur, which produces a blowing noise. This may be indicative of:

The nurse anticipates which diagnostic results to be expected findings in a patient with congestive heart failure?

A patient receiving ACE inhibitors are at risk for developing which of the following adverse effects:

The 12-lead EKG demonstrates ST elevation in leads V1 through V3. The nurse interprets this as an acute MI involving the:

Which nursing diagnostic category would be appropriate for a patient with CHF?

The nurse is caring for a client with hypokalemia, heart failure, and 3+ pitting edema in the lower extremities. Which of the following medications would the nurse anticipate giving to this client?

The nurse is caring for a client with worsening congestive heart failure. Which of the following are expected findings in a client with this condition? Select all that apply.

A nurse is caring for a client with heart failure. During the shift assessment the nurse notes that the client has pitting edema, shortness of breath, and which heart sound?

A nurse is providing instructions to a pregnant client who also has a diagnosis of heart failure. What should be included in those instructions?

The nurse is caring for a client who was admitted with shortness of breath and has a new diagnosis of heart failure. Which of the following labs indicate that the client is suffering from severe heart failure?

The nurse caring for a newborn diagnosed with a ventricular septal defect knows that which of the following are common symptoms of heart failure in infants? Select all that apply

The nurse is caring for a client with a history of congestive heart failure (CHF). While reviewing his medications with the nurse, the client asks for help identifying which medication is for CHF. The nurse knows that which of the following medication is used to treat this condition?