A night shift telemetry nurse notices that an 85-year-old patient who is being monitored for heart palpitations has a heart rate of 30 BPM with the following rhythm: The nurse enters the room to find the patient asleep and very difficult to arouse. The patient is only alert and oriented times 1. What would the appropriate nursing intervention be for this patient?

A medical-surgical nurse is performing a head-to-toe skin assessment on a 38-year-old patient and discovers a mosquito bite.  As the nurse expects, the bite is elevated and has serous fluid contained in the dermis.  How would the nurse classify this primary skin lesion?

An adult patient with this rhythm is admitted to the cardiac care unit and placed on continuous cardiac monitoring. Which procedure should the nurse educate the patient about?

A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse assesses the patient’s stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?

An urgent care nurse is caring for a 22-year-old patient who shows evidence of pediculosis corporis. What important information should the nurse anticipate including in the patient education? Select all that apply.

An urgent care nurse is caring for a 22-year-old patient who shows evidence of pediculosis corporis. What important information should the nurse anticipate including in the patient education? Select all that apply.

A patient is admitted to the intensive care unit with what is thought to be toxic epidermal necrolysis (TEN).  When assessing the health history of the patient, the nurse would be alert to what precipitating factor?

A patient has been identified as needing a coronary artery bypass graft (CABG). The cardiothoracic surgeon and the patient have discussed the patient’s needs and have decided on an alternative, off-pump CABG. The patient indicates an understanding of the procedure when they say:

A patient is brought into the emergency department via ambulance. The patient has a Glasgow Coma Scale score of 3 and presents with this rhythm.  What is the priority intervention for this patient?

A geriatric nurse is performing an assessment of body systems and health history on an 85-year-old patient. The nurse should be aware of what age-related change affecting the renal or urinary system?