If a low-pitched murmur is suspected with prior assessment, which of the following is the best position for the client when the nurse auscultates the apical site?
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent
C
Positioning the client onto the left side brings the heart closer to the chest wall.
Sitting upright is used for assessing lung expansion and symmetry of the upper extremities.
Standing is not the best position for auscultating a heart murmur.
The dorsal recumbent position is best used for abdominal assessment.
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A busy ICU unit has a high noise level. The charge nurse is frustrated due to the noise level and the inability to focus when entering physicians? orders into the electronic medical record
Which of the following would be an appropriate action by the ICU nurse manager? 1. Decrease the noise level on the unit. 2. Inform other staff they are to lower their voices. 3. Close the doors to the clients? rooms. 4. Arrange an area that is quiet and removed from the nurse?s work area to enter orders.
The nurse receives a call from a client who reports a deep, long cut to the left hand sustained while slicing a bagel and asks the nurse what to do. Which action will the nurse direct the client to take?
1. Elevate the arm above the head and apply ice and pressure while en route to the emergency department. 2. Apply heat and pressure en route to the emergency department. 3. Apply ice and elevate the arm. 4. Apply pressure and elevate the arm.
The nurse is providing care in a hospital with a high volume of clients with Medicare and HMO health plans. Which statement is true about the role of the nurse in this type of environment?
a. Surveys indicate the public is opposed to prescriptive authority for advanced practice nurses. b. Nurses are seen as part of the problem in delivery of health care. c. The public accepts the role of nurses in performing physical examinations and managing minor acute illnesses. d. Nurses have many roles to fill to support the clients' needs
The mother of a 2 year old tells the nurse she always cleans the child's ears with a hairpin. What would the nurse tell the mother?
A) "That's not good. Use a Q-tip or your finger instead." B) "You really like to keep your child clean. Good for you!" C) "That is dangerous; you might puncture the eardrum." D) "Show me exactly how you use the hairpin."