A patient presents to the ED with acute onset of an irregular pulse.  Monitoring is initiated, and this is the strip shown on the monitor: What interventions should the nurse anticipate being ordered? Select all that apply.

A patient who is a candidate for an implantable cardioverter defibrillator (ICD) asks the nurse about the purpose of this device. What would be the nurse’s best response?

An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this resident’s plan of care?

A patient reports severe itching in the hands that intensifies at night. The nurse assesses the skin using a magnifying glass and penlight to look for the “itch mite.” What skin condition is the nurse assessing for?

The critical care nurse and the other members of the care team are assessing the patient to see if he is ready to be weaned from the ventilator. What are the most important predictors of successful weaning that the nurse should identify?

A patient in hypertensive urgency is admitted to the hospital. The nurse should be aware of what goal of treatment for a patient in hypertensive urgency?

The nurse is preparing health education for a patient who is being discharged after hospitalization for a hemorrhagic stroke. What content should the nurse include in this education?

The nurse is caring for an adult patient who had symptoms of unstable angina upon admission to the hospital. Which nursing diagnosis describes the discomfort associated with angina?

The nurse should be cognizant of what contraindications for thrombolytic therapy in the care of the patient with an ischemic stroke? Select all that apply.

The nurse is admitting a patient with traumatic injuries who also has class III obesity. When planning this patient’s care, the nurse should address the patient’s heightened risk of what nursing diagnoses related to obesity?