The nurse is assessing a client for a heart murmur. Which of the following should be included in this assessment? (Select all that apply.)
1. Blood pressure
2. Heart rate
3. Location
4. Radiation
5. Timing
6. Intensity
3, 4, 5, 6
When assessing heart murmurs, the following are evaluated: location, radiation, timing, and intensity. Blood pressure and heart rate are not assessed during the assessment of a heart murmur.
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A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown, which can't go in the scanner. What action by the nurse is best?
a. Take the icon off the patient's gown until she returns. b. Give the icon to the patient's family for safekeeping. c. Pin the icon to the patient's pillow so it can go to radiology. d. Explain the restriction and ask the patient's preference.
The nurse observes bleeding on the dressing of an IV insertion site. Which should the nurse implement?
1. Examine insertion site. 2. Reinforce the dressing. 3. Apply warm compress. 4. Remove the IV quickly.
The nurse is discussing the importance of sodium restriction with the caretaker of her client who has moderate to severe CHF. She recommends that sodium from all sources be limited to:
1. < 2 grams/day. 2. 2–3 grams/day. 3. 3–4 grams/day. 4. 5 grams/day.
According to current research findings, which group has the most experience with congregational health ministers?
A) Mainline Protestant and African-American Protestant B) Conservative Protestant and Roman Catholic C) African-American Protestant and Conservative Protestant D) Mainline Protestant and Roman Catholic