The nurse discovers a soft systolic murmur when auscultating the heart of a client at 32 weeks' gestation. Which action would be most appropriate?
A) Refer her for cardiac evaluation.
B) Ask another nurse to assess the heart.
C) Inquire if the client has chest pain.
D) Document this and continue to follow at future visits.
D
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In caring for a patient with major depression, the nurse knows that the patient needs:
A. Frequent changes in activities. B. Introduction to multiple new staff members. C. Behavior modification that restructures feelings. D. Well-defined, structured interactions at the beginning of treatment.
A client is prescribed an antipsychotic drug that also has an antiemetic effect. Which of the following would the nurse identify as having this effect? Select all that apply
A) Lithium (Eskalith) B) Aripiprazole (Abilify) C) Chlorpromazine (Thorazine) D) Prochlorperazine (Compazine) E) Clozapine (Clozaril)
The client with obstructive jaundice asks the nurse why his skin is so itchy. Which is the nurse's best response?
a. "Bile salts accumulate in the skin and cause the itching." b. "Toxins released from an inflamed gallbladder lead to itching." c. "Itching is caused by the release of cal-cium into the skin." d. "Itching is caused by a hypersensitivity reaction."
A client with hypertension has been prescribed oral clonidine hydrochloride. What instruc-tions should the nurse give to this client?
A. "Take this medication at bedtime." B. "Call your health care provider if a rash develops." C. "You will need to have your blood counts monitored regularly." D. "Take this medication by puncturing the capsule and placing the liquid contents under the tongue."