When auscultating the heart of a client with pericarditis, the nurse expects to hear which sound?
a. A systolic murmur
b. An S3 heart sound
c. A friction rub
d. An S4 heart sound
ANS: C
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While caring for patients, the nurse completely documents the care given. This nursing action is defined by what kind of law?
A) Administrative B) Civil C) Tort D) Criminal
Which health maintenance practice would a patient from the Black culture use to keep the system "open"?
A. Take laxatives. B. Have massages. C. Participate in rooting and prayer. D. Wear amulets.
A client in his 40s has asked the nurse how much sleep he should be getting in order to maximize his health and well-being. How should the nurse respond?
A) "Most adults need between seven and nine hours, but everyone is different." B) "It's important to get a minimum of eight hours sleep each night." C) "More sleep equals better health, so the more sleep you can fit into your schedule, the better." D) "Sleep needs depend a lot on age, and at your age, six to seven hours usually suffice."
What protocols should have been followed to prevent the confusion in such a situation?
You are waiting for a RN Rosie has been working as an anaesthetic nurse for several months and she is in the anaesthetic room with Mrs A, who is to undergo a total knee replacement. Mrs A has had a premedication, which has made her drowsy, but she is clearly still very anxious and holding firmly onto Rosie's hand. Rosie notices that Mrs A's healthcare record and her consent form both state that the procedure that she is about to undergo is a right total knee replacement. The operating list in the operating suite has Mrs A listed for a left total knee replacement. Rosie asks Mrs A to clarify which knee she is having replaced and Mrs A points to her right knee, but tells Rosie that ‘both knees are bad'. Rosie checks Mrs A's legs to see whether the surgeon has marked the operative site for today's procedure and notes that this has not occurred. What will be an ideal response?