The nurse is caring for the patient in cardiac arrest. Which rhythm, if found on electrocardiogram, does the nurse most anticipate to be treated with unsynchronized defibrillation?

Following an accidental overdose of acetaminophen, the patient has a lactate level of 5.6 mmol/L. Which compensatory change in the patient will the nurse observe first?

The nurse is assessing the skin of a patient who uses a wheelchair for mobility. The nurse notes an area over the patient’s left ischium that is shiny and pinkish-red with a serous exudate. The area measures 5 cm x 4 cm and depth of the wound is insignificant. Which of the following terms is the most appropriate for the nurse to use when documenting this finding?