Intake and output
Baseline peripheral pulse rates
Height and weight
Allergy to iodine or shellfish
“Have you ever had this pain before?”
“Can you describe the pain to me?”
“Does the pain get worse when you breathe in?”
“Can you rate the pain on a scale of 1-10. with ten (10) being the worst?”
Strict bed rest for 24 hours after transfer
Bathroom privileges and self-care activities
Unsupervised hallway ambulation with distances under 200 feet
Ad lib activities because the client is monitored.
Review the intake and output records for the last two (2) days
Change the time of diuretic administration from morning to evening
Request a sodium restriction of one (1) g/day from the physician.
Order daily weight starting the following morning.
Check the client status and lead placement
Press the recorder button on the electrocardiogram console.
Call the physician
Call a code blue
Seating the client with arm bared. supported. and at heart level.
Measuring the blood pressure after the client has been seated quietly for 5 minutes.
Using a cuff with a rubber bladder that encircles at least 80% of the limb.
Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion.
The same as the client’s own baseline level
Lower than the needed therapeutic level
Within the therapeutic range
Higher than the therapeutic range
Stimulates the breakdown of specific clotting factors by the liver. and it takes two (2)- three (3) days for this to exert an anticoagulant effect.
Inhibits synthesis of specific clotting factors in the liver. and it takes 3-4 days for this medication to exert an anticoagulant effect.
Stimulates production of the body’s own thrombolytic substances. but it takes 2-4 days for this to begin.
Has the same mechanism of action as Heparin. and the crossover time is needed for the serum level of warfarin to be therapeutic.
Administer the morphine
Obtain a 12-lead ECG
Obtain the lab work
Order the chest x-ray