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A nurse recognizes that the appropriate delegation of nursing activities is based on a standard of practice. Identify the correct components of this standard for delegation.

A patient is observed to have a flat line on the cardiac monitor.  The nurse assesses the patient and finds the patient apneic, cyanotic, and pulseless.  The nurse understands the patient is in:

A patient admitted to the emergency department is unresponsive after successsful resucitation.  Initial laboratory findings are serum potassium 4.0 mEq/L, serum sodium 142 mEq/L, blood glucose of 210 mg/dL, and an elevated troponin level.  Cardiac monitoring shows multifocal premature ventricular contractions (PVC’s).  The nurse understands that the patient’s PVC’s are most likely caused by:

A patient who has been successfully resuscitated two times following sudden cardiac death has a transvenous implantable cardioverter-defibrillator (ICD) for management of ventricular arrhythmias.  When performing discharge teaching, the nurse should instruct the patient that:

The nurse responds to a ventilator alarm and finds the endotracheal tube pulled out by a patient. Which action should the nurse take next?

The patient at risk for acute respiratory failure has developed labored respirations.  What assessment technique should the nurse perform first?

A patient with dilated cardiomyopathy has had atrial fibrillation at 100 bpm for an unknown period of time.  Which of the following does the nurse correctly anticipate will be carried out next?

The pilot balloon on the endotracheal tube of a patient being mechanically ventilated is completely deflated.  What is the consequence of this situation?

A patient with a 35-pack year smoking history reports having a chronic cough. The patient is now noticing pink, frothy, blood tinged sputum on the tissue after coughing. The chest radiograph shows a possible nodule in the right upper lobe. What diagnostic test is indicated at this time?  

A 50-year-old patient comes to the clinic with a dry cough, weight loss, night sweats and fatigue. A chest x-ray reveals small, homogenous infiltrates in the upper lobe of the right lung. Given the most likely cause of this patient’s symptoms, which tests will be most useful to confirm a diagnosis?