The nurse is preparing to assess the client's cardiovascular system. Which client positions will the nurse use when conducting this assessment? Select all that apply
1. Dorsal recumbent.
2. Leaning forward.
3. Right lateral position.
4. Left lateral position.
5. Sitting upright.
Correct Answer: 1, 2, 4, 5
The nurse will most likely begin this examination with the client sitting upright. This is the position the nurse should ask the client to assume when beginning chest auscultation. The client will be asked to remain in a supine position or dorsal recumbent position for part of the examination. The nurse may be able to auscultate murmurs better while the client is in this position. The client will be asked to lean forward during auscultation of the heart. The nurse should listen to the client's heart while the client is leaning forward. The client will be asked to lie on the left side during part of this examination. In obese clients, heart sounds are best heard at the apical area with the client in the left lateral position. Right lateral position is not a common position to place the client in during this type of examination.
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Prior to 1940, schools of nursing in the United States were loosely controlled and poorly organized, with low educational standards
Which of the following events ushered in a new era of organization and accountability in practical nursing education? A) Legislation that put nursing schools under the control of state legislation B) The entry of registered nurses into faculty positions at practical nursing schools C) Political pressure from patients and families that were dissatisfied with their hospital care D) Influence from European nurses during World War II who had higher educational standards
The client is an older adult who is being treated with a glucocorticoid medication. The highest priority nursing intervention with this client is to monitor for evidence of:
a. cardiac dysrhythmias. b. visual disturbances. c. cognitive deterioration. d. increased osteoporosis.
A patient is in the operating room awaiting general anesthesia for an open cholecystectomy. Atropine is prescribed preoperatively to
a. minimize the amount of analgesia needed postoperatively. b. provide a more rapid induction of anesthesia. c. reduce the risk of bradycardia during surgery. d. induce relaxation prior to induction of anesthesia.
The patient with diabetes
A) cannot use glucose properly. B) excretes potassium rapidly. C) has high sodium levels. D) loses bone calcium.