D. standing near his room, breathing heavily. When asked what just happened, she replied, "I feel dizzy and might pass out!" Ms. D then explained that she got up from her chair in the television room and felt dizzy. I decided to bring her into the bedroom hoping she would feel less dizzy if she could sit up. After consultation with my mentor and third-year nursing student, I decided to measure her vital signs. As I only had an electronic blood pressure monitor at my disposal at that time, I had to use it for my procedure. Fortunately, I discovered that I had already used such equipment in my previous nursing practice. Using a standard sized calf, I found that his blood pressure was 135/85, his respirations were 16, and his pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, finding that it was irregular (78 bpm). The patient reported that she felt better after rest. Immediately after the incident, I made the decision to carefully review Ms. D.'s medical records, as well as her nursing care plan. This helped me discover several medical diagnoses that influence it