A client with chronic renal failure has developed uremic pericarditis. In assessing the cardiovascular system of this client, what sounds would the nurse expect to hear?

A. A harsh, blowing murmur at the left sternal border
B. An irregular heartbeat, accompanied by a precordial lift
C. A pericardial friction rub, present in systole and diastole
D. Soft, distant heart sounds accompanied by an S3


C
The classic sign of acute pericarditis is the scratchy sound associated with a pericardial friction rub. This sound can be heard in both systole and diastole. Soft, distant heart sounds can be present if the pericarditis is accompanied by an effusion.

Nursing

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In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes?

a. Central, axillary, lateral, and sternal b. Pectoral, lateral, anterior, and sternal c. Central, lateral, pectoral, and subscapular d. Lateral, pectoral, axillary, and suprascapular

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Which research discipline seeks to develop practical applications based on research knowledge?

a. Meta-analysis b. Meta-synthesis c. Rigorous experimental studies d. Translational research

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Your presentation to the student nurses includes information about practice models and disease management programs. Using your knowledge about disease management programs, what is the best practice model?

A) Collaborative B) SMART C) Force field D) Logic

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One criticism of servant leadership is

a. It puts followers first at the expense of the leader b. The Servant Leadership Questionnaire has not been validated c. Conceptualizing leader behaviors could be a cognitive ability d. Altruism is a central component

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