You are providing care for a patient admitted post-MI. You notice the following rhythm on the monitor: The patient is not responding to you, and you cannot feel a carotid pulse. What is your next best action?

Which of the following new exam findings by a nurse would be MOST concerning in a patient who is admitted to the hospital with a new diagnosis of mitral valve infective endocarditis?

Which of the following symptoms, if reported by a patient who presented after sustaining a laceration to their thigh, would the nurse want to report to the provider immediately?

A patient requires frequent ABG labs and close monitoring of mean arterial blood pressures for vasoactive medication titration. The nurse knows the most appropriate type of invasive monitoring for this patient would include:

A patient with extensive electrical burn injuries is admitted to the emergency department. Which prescribed intervention would the nurse implement first?

Your patient has just come back to your unit after receiving a dual chamber pacemaker.  While reviewing the telemetry strip to assess that the pacemaker is functioning properly you notice that there are pacer spikes at appropriate intervals but they are not followed by a QRS complex.  This would indicate which of the following?

An 80-kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn unit following an electrical burn. The provider orders 4mL/kg of fluid be administered. Using the Parkland formula, what is the IV infusion rate (mL/hour) for lactated Ringer’s solution that the nurse will give during the first 8 hours? _______ mL/hr (express as a whole number). 

A patient who reports a “racing” heart and feeling “anxious” comes to the emergency department. The nurse places the patient on a heart monitor and obtains the following electrocardiographic (ECG) tracing. Which action would the nurse take next?

A patient presents with a simple cellulitis of the right lower extremity.  The patient reports mild pain at the site and there is noted to be a small area of erythema and swelling around the site.  The patient is immunosuppressed and is therefore admitted to the hospital for IV antibiotic therapy.  Which of the following lab results does the nurse know will ultimately help the provider to de-escalate/tailor antibiotic therapy for this patient?

Select ALL the options that best describe this rhythm from this 6-second strip: (select all that apply)