After an acute myocardial infarction, the patient is receiving tissue plasminogen activator (tPA), lidocaine, and nitroglycerin intravenous infusions
The patient is pain-free and has a normal sinus rhythm with elevated ST segments and rare premature ventricular contractions (PVCs) and a blood pressure of 82/55 mm Hg. What is the most important nursing action?
A) Reduce the nitroglycerin infusion rate.
B) Increase the tPA infusion rate.
C) Administer a bolus of lidocaine.
D) Obtain a 12-lead electrocardiogram.
A
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An 18-month-old child is diagnosed with insufficient platelets. What should the nurse instruct the parents to reduce the risk of the child bleeding when at home? (Select all that apply.)
A) Check that all toys have soft corners. B) Engage in limited amounts of rough play each day. C) Ensure mouth care is performed with a soft toothbrush. D) Do not apply Band-Aids or adhesive tape onto the skin. E) Pad the side and crib rails on the bed at home to prevent bruising.
An 80-year-old patient is being admitted from a nursing home for treatment of septic shock. Which assessment finding should the nurse investigate as the most likely source of the sepsis?
1. A red, flat rash in the perineal area 2. History of exposure to a daughter who is receiving chemotherapy 3. Report that several patients at the nursing home have scabies 4. An indwelling urinary catheter inserted 3 days ago by nursing home personnel
The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client's instrumental activities of daily living, which question would be most appropriate to ask?
A) "How often do you bathe or shower?" B) "How many times do you change clothes during the day?" C) "How often do you cook meals for yourself?" D) "How often do you go to the store to buy groceries?"
The leading ring is represented by which number? 
A. 5 B. 4 C. 3 D. 2