During the assessment of a 66-year-old client's apical pulse, the nurse notes the presence of a faint murmur. The nurse documents that a grade 3 murmur can be auscultated without radiation
The client denies ever having been diagnosed with any heart problems. Based upon your knowledge, which of the following statements is most correct? 1. The client is demonstrating mitral calcifications.
2. The client has valvular stenosis.
3. The client is presenting with the normal changes of aging.
4. The client has clinical manifestations associated with aortic calcifications.
3
Rationale 1: Clicks and snaps can be associated with mitral calcifications.
Rationale 2: Loud murmurs grade 4 or greater with thrills or radiation can be associated with valvular stenosis.
Rationale 3: Grade 3 murmurs without radiation are commonly present in older people because of decreased cardiac muscle tone.
Rationale 4: Clicks and snaps can be associated with aortic calcifications.
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A client says that even though a diagnosis of hypertension is disappointing, with medication and lifestyle changes, it can be controlled and the client will become a better person
Based on this data, which aspect of spirituality is the client demonstrating? A) Connecting B) Meaning C) Value D) Becoming
The nurse is caring for an older client who does not exhibit an elevated temperature but is suspected of having a severe infection. The nurse should look for other manifestations of infection, such as:
1. hypertension. 2. change in mental function or delirium. 3. diarrhea. 4. nausea and vomiting.
The nurse is counseling a client who has recently been diagnosed with syphilis. Which is the highest priority instruction that the nurse provides to the client regarding sexual partners?
a. "As long as both of you are being treated, abstinence is not necessary." b. "If you both have the same disease, you can continue to have sex." c. "Your partner must be treated with anti-biotics within the next 90 days." d. "Once the health department gets your partner's name, confidentiality is not con-sidered to be important."
A nurse is caring for a patient who has an order for a 24-hour urine specimen collection. The patient asks, "Why do I have to collect my urine for 24 hours?" The nurse's best response would be:
1. "A 24-hour urine test is often done to evaluate how your kidneys function." 2. "Is there some reason that you don't want this test?" 3. "This test is done to determine whether you have a urinary tract infection." 4. "I can call your doctor if you'd like to speak with her."