The client has a mitral valve prolapse. Which of the following heart sounds should the nurse expect to auscultate with this client?
A. Rumbling apical diastolic murmur
B. Midsystolic click and late systolic murmur
C. An S3 coupled with a high-pitched systolic murmur
D. Continuing, loud diastolic murmur radiating to the left axilla
B
The mitral valve separates the left atrium from the left ventricle. The prolapse permits backflow of blood during mid- to late systole, resulting in a midsystolic click and a late systolic murmur at the heart apex.
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A patient's husband is dying of cancer. Which statements by the nurse are appropriate? Select all that apply
1. "He's going to a better place." 2. "Don't worry. Everything will be OK." 3. "Please let me know if I can help in any way." 4. "Would you like to talk about what's happening?" 5. "Do you have any questions about what is happening with your husband?"
The nurse observes that a new client uses overgeneralizations, catastrophizing, and personalization during the admission assessment. Select the priority nursing diagnosis
A) Risk for social isolation B) Risk for chronic low self-esteem C) Risk for impaired social interaction D) Risk for disturbed thought processes
A health institution is looking for solutions to the nursing shortage it is experiencing. After researching options, which strategies have been successful for other institutions? (Select all that apply.)
A) Appoint a team of nurses to lobby for effective changes within the health care system B) Encourage clinical decision making C) Develop an active marketing effort to recruit qualified students into nursing D) Promote higher education to all nurses E) Develop self-evaluation systems
The nurse is caring for a patient who attempted suicide a year ago but expresses no desire to do so now. On what will the nurse focus during patient education?
1. Emphasizing that the patient seek and use resources to prevent a suicide attempt 2. Encouraging the patient to call family members for support when having feelings of suicide 3. Developing a pamphlet of information that the patient will use to increase knowledge on suicide prevention 4. Encouraging the patient attend a support group with other individuals who have attempted suicide