When auscultating the S2 heart sound, the nurse understands that this heart sound:
a. Represents the beginning of systole.
b. Represents the closure of the aortic and pulmonic valves.
c. Is usually followed by the S3 heart sound.
d. May be heard as a split sound on exhalation in clients under age 40.
ANS: B
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Veronica doesn't know what to do with her two young children so she can visit her husband daily in the ICU. The nurse helps her by
A) watching the children while she visits her husband. B) identifying family members or neighbors who can help. C) calling her spouse to watch the children. D) asking the supervisor to take the children to the pediatric unit.
While assessing a 45-year-old female client's health history, the nurse notes the client may be at risk for developing stress urinary incontinence because of which of the following?
a. BMI 23 b. Vaginal delivery for eight live births c. Blood pressure of 120/68 mm Hg d. Family history of type 2 diabetes
A patient addicted to both alcohol and benzodiazepines tells a nurse, "I can control my drug use anytime I want to.". This statement is an example of the patient's use of:
a. denial. b. repression. c. compensation. d. reaction formation.
What term should a nurse use when describing a response to grieving that includes a sudden physical collapse and paralysis, and which cultural group would be associated with this behavior?
A. "Falling out" in the African American culture B. "Body rocking" in the Vietnamese American culture C. "Conversion disorder" in the Jewish American culture D. "Spirit possession" in the Native American culture