A patient presents in acute decompensated heart failure (ADHF) with a blood pressure of 75/42 mmHg. The nurse starts a continuous dopamine infusion as ordered at 0952. When does the nurse expect the peak effect to be achieved?

The patient with acquired immunodeficiency syndrome who has been noncompliant with highly active antiretroviral therapy (HAART) presents to the emergency department with a productive cough, fever, night sweats, and weight loss. The patient’s chest x-ray reveals diffuse infiltrates bilaterally and the CD4 count is 182 cells/µL. Which question by the nurse is most important?  

The 5-year-old patient has been prescribed phenytoin for the treatment of seizures. Which statement by the patient’s mother prompts the nurse to contact the provider for an alternative prescription?