GI
This is the rationale for avoiding NSAIDs in cirrhosis patients.
increased risk of bleeding due to coagulopathy and possible renal impairment
This is the most common cause of prerenal AKI.
Hypovolemia
This is the priority nursing action when a patient develops bradycardia with hypotension and altered LOC.
prepare for administration of atropine and transcutaneous pacing
This is the nurse’s first action when a patient reports chest pain and has ST elevations on ECG.
administer oxygen and notify the provider for potential reperfusion therapy
This is the priority nursing assessment in a patient with suspected left-sided heart failure.
assessing for pulmonary symptoms like crackles, dyspnea, and orthopnea
This dietary restriction is typically recommended to reduce fluid retention in cirrhosis patients.
sodium
This is defined as kidney damage or decreased kidney function for ≥3 months.
This is the first priority when a patient is found in ventricular fibrillation on the monitor.
initiate CPR and prepare for defibrillation
This lifestyle-related nursing teaching is key to preventing disease progression in CAD.
encouraging smoking cessation
This is a priority daily nursing task to monitor fluid balance in a patient with right-sided heart failure
obtaining daily weights and tracking intake/output
This order—"NPO"—is important in acute pancreatitis for this reason.
to rest the pancreas and reduce enzyme secretion
This type of AKI is caused by obstruction of urine flow.
Post renal AKI
In atrial fibrillation, this is a priority before cardioversion can be safely performed.
assessing for thrombus with a transesophageal echocardiogram (TEE) or ensuring anticoagulation for at least 3 weeks
The nurse monitors for this serious complication, which can present as a sudden neurologic change.
embolic stroke
This is a key nursing observation for fluid volume overload in right-sided heart failure.
assessing for peripheral edema and jugular venous distention (JVD)
This is the priority nursing intervention for a cirrhosis patient with new-onset confusion.
assessing for hepatic encephalopathy and checking ammonia levels
This common electrolyte imbalance in CKD may lead to cardiac arrhythmias
Hyperkalemia
This electrolyte abnormality increases the risk of torsades de pointes and must be corrected promptly.
hypomagnesemia
This is the nursing priority when a pericarditis patient develops hypotension, JVD, and muffled heart sounds.
suspecting cardiac tamponade and notifying the provider immediately
This position can help improve oxygenation in a patient with left-sided heart failure and pulmonary congestion.
high fowlers
This is the most critical nursing action when a patient with esophageal varices begins vomiting blood.
maintaining airway patency and preparing for emergency endoscopy
This CKD stage is defined by a GFR between 30 and 59 mL/min/1.73m².
Stage 3
List three nursing interventions for a patient with supraventricular tachycardia (SVT) who is stable but symptomatic.
Instruct the patient to perform vagal maneuvers (e.g., bearing down or coughing),
Prepare for IV adenosine administration,
List four priority nursing actions for a patient diagnosed with acute myocardial infarction within the first hour of care.
Administer oxygen (if O₂ sat <90%),
Obtain ECG and notify the provider,
Administer aspirin as ordered,
Prepare for administration of nitroglycerin and/or morphine, and establish IV access.
List two priority nursing interventions for each: right-sided and left-sided heart failure.
Right-sided HF:
Monitor for edema and ascites
Administer diuretics and monitor fluid status
Left-sided HF:
Assess breath sounds and oxygenation
Administer oxygen and position upright