A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.

A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.