The nurse is watching a cardiac monitor and notices the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats per minute. The nurse determines the client is experiencing which dysrhythmia?

A hospitalized client has continuous electrocardiographic (ECG) monitoring and the monitor shows the rhythm has suddenly changed to ventricular tachycardia. Upon entering the room, the nurse notes the client is awake and alert and speaks to the nurse. Which priority action should the nurse take?

Select all that apply. One, some, or all responses may be correct.

A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 ml/hour for 2 hours. The client received a single bolus of 500 ml of intravenous fluid. Urine output for the subsequent hour was 25 ml. Daily laboratory results indicate the blood urea nitrogen (BUN) level is 45 mg/dl and the serum creatinine level is 2.2 mg/dl. On the basis of these findings, the nurse would anticipate that the client is at risk for which problem?

The nurse is caring for a client who is experiencing labored breathing and low oxygen levels. X-ray results show pulmonary edema. The physician orders furosemide IV. What finding would require immediate nursing action?

The nurse providing care to an 18-year-old male who has cystic fibrosis. Which complication can arise from this diagnosis? 

Select all that apply. One, some, or all responses may be correct.

A client with acute kidney injury has a GFR (glomerular filtration rate) of 40 mL/min. Which signs and symptoms below may this client present with?

Select all that apply. One, some, or all responses may be correct.

Which of these findings is the best indicator that the fluid resuscitation for a client with hypovolemic shock has been successful?

When caring for a child experiencing anaphylactic shock, which of the following is the most important nursing action?

The nurse is planning care for a client diagnosed with cardiogenic shock. Which nursing intervention is most helpful to decrease myocardial oxygen consumption?

Which patients are at risk for acute intra-renal injury?

Tall peaked T-waves, flat P-waves, prolonged PR intervals and widened QRS complexes can present in which condition?

A patient is taking Digoxin. What medication on the patient’s medication list increases the patient’s risk of experiencing Digoxin toxicity?

A client with a potassium level of 5.5 mEq/L is to receive an oral dose of sodium polystyrene sulfonate (Kayexalate).

Which should the nurse monitor after giving the client the medication?

You're providing care to a patient being treated for aspiration pneumonia. The patient is on a 100% non-rebreather mask.

Which finding is a HALLMARK sign and symptom that the patient is developing acute respiratory distress syndrome (ARDS)?

A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO2) of 78%.

The patient is increasingly lethargic. Which intervention will the nurse anticipate?

Which clinical findings are consistent with sepsis diagnostic criteria?

Select all that apply. One, some, or all responses may be correct.

A client is experiencing septic shock and infrequent bowel sounds. To ensure adequate nutrition, the nurse provides which intervention?

A 78-kg patient with septic shock has a pulse rate of 120 beats/min. Urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?

A 16-year old patient with cystic fibrosis is admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the patient's care?

A nurse is caring for a patient with ARDS. Which position should the nurse place the patient in to optimize oxygenation?

A nurse is preparing discharge teaching for a patient recovering from ARDS. Which topic should be the priority?

A nurse is caring for a patient with acute kidney injury (AKI). Which teaching point is the priority before discharge?

A nurse assesses a hospitalized patient and suspects Systemic Inflammatory Response Syndrome (SIRS). Which findings meet the diagnostic criteria for early SIRS?

Select all that apply. One, some, or all responses may be correct.

A patient with COPD has the following ABG results: pH 7.34, PaCO₂ 58 mm Hg, HCO₃⁻ 30 mEq/L. What is the correct interpretation?

A nurse is caring for a patient with suspected post-renal acute kidney injury (AKI). Which assessment finding would the nurse expect to observe?

A patient develops acute kidney injury (AKI) following prolonged hypotension during surgery. The nurse notes muddy brown casts in the urinalysis. Which type of AKI is the patient most likely experiencing?

A patient with intrarenal AKI from nephrotoxic antibiotics is receiving multiple medications. What is the priority nursing action?

A 10-year-old child with cystic fibrosis is seen in the clinic for routine follow-up. The nurse reviews the child’s latest pulmonary function test results and nutritional assessment. The child’s forced expiratory volume in 1 second (FEV₁) has decreased to 60% of predicted, and recent weight is at the 10th percentile for age and height. Based on these findings, which nursing intervention is most appropriate?

A nurse is caring for a patient with nonvalvular atrial fibrillation who has undergone left atrial appendage (LAA) closure with a Watchman device. Which statement by the patient indicates understanding of post-procedure care?