The nurse assesses a client and notes the presence of an S3 gallop. What is the nurse's best intervention?
a. Assess for symptoms of left-sided heart failure.
b. Document this as a normal finding.
c. Call the health care provider immediately.
d. Transfer the client to the intensive care unit.
A
The presence of an S3 gallop is an early diastolic filling sound indicative of increasing left ven-tricular pressure and left ventricular failure. The other actions are not warranted.
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The client tells the nurse, "The doctor says my breast tumor was at B stage. What does that mean?" The nurse explains that the staging describes:
1. "The type of cancer cells." 2. "Where the tumor tissue originated." 3. "The rate of growth of the cancer cells." 4. "The size of the tumor and extent of the cancer."
The purpose of a query letter is to:
A) Determine whether a journal editor has interest in a proposed manuscript B) Ask permission to submit a manuscript to multiple journals simultaneously C) Inquire about the publication status of a submitted manuscript D) None of the above
A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?
A) Outcomes were stated in realistic terms B) Outcomes addressed overall issues C) Outcomes indicated small successes D) Outcomes were identified for specific behaviors
The nurse is caring for a female infant with torticollis and is providing instructions to the parents about how to help their daughter. Which statement by the parents indicates a need for further teaching?
A) "We must encourage our daughter to turn her head both ways." B) "Flatness on one side of the head is a common side effect." C) "We must apply firm pressure and stretching every other day." D) "We will do a daily stretching regimen with multiple sessions."