The nurse is caring for a patient on the medical-surgical unit who suddenly becomes unresponsive and has no pulse. The cardiac monitor shows the rhythm below:After calling for assistance and a defibrillator, what action would the nurse take next?

A nurse is teaching a larger female patient about alcohol intake and how it affects hypertension. The patient asks if drinking two beers a night is an acceptable intake. What answer by the nurse is best?

A nursing student is caring for a patient with leukemia. The student asks why the patient is still at risk for infection when the patient’s white blood cell count (WBC) is high. What response by the registered nurse is best?

A patient with autoimmune idiopathic thrombocytopenic purpura (ITP) has had a splenectomy and returned to the surgical unit 2 hours ago. The nurse assesses the patient and finds the abdominal dressing saturated with blood. What action is most important?

A nurse prepares to discharge a patient with cardiac dysrhythmia who is prescribed home healthcare services. Which priority information would be communicated to the home health nurse upon discharge?

A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a patient with congestive heart failure. Which instructions would the nurse provide to the UAP when delegating care for this patient? (Select all that apply.)

A nurse assesses a patient who has a history of heart failure. Which question would the nurse ask to assess the extent of the patient’s heart failure?

A student nurse asks what “essential hypertension” is. What response by the registered nurse is best?

A patient is taking warfarin (Coumadin) and asks the nurse if taking St. John’s wort is acceptable. What response by the nurse is best?

A nurse teaches a patient with a new permanent pacemaker. Which instructions would the nurse include in this patient’s teaching? (Select all that apply.)