During the physical assessment of a patient on admission, the nurse auscultates a grade II midsystolic heart murmur. The nurse would conduct additional assessment for which condition?
1. Aortic stenosis
2. Mitral stenosis
3. Aortic regurgitation
4. Mitral regurgitation
1
Rationale 1: The murmur associated with aortic stenosis is a midsystolic, crescendo-decrescendo murmur.
Rationale 2: Mitral stenosis is characterized by a long, rumbling diastolic murmur.
Rationale 3: Aortic regurgitation is characterized by an early diastolic murmur.
Rationale 4: Mitral regurgitation results in a pansystolic murmur, or one that is heard throughout systole, not just at the midpoint.
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A nurse manager designs a research study to examine nurse workload stress, work shift, number of years in the nursing profession, number of medication errors, patient falls, and after-shift overtime, as the relate to one another
What is the most likely method the manager will use to study this? a. Analysis of change b. Analysis of improvement c. Analysis of variance d. Multilevel analysis
The infection control nurse in a long-term care facility (LTCF) understands that infection control procedures have to be adopted for use in the LTCF because
a. elderly clients are much less likely to acquire an infectious disease in a LTCF. b. residents are usually not allowed to enter LTCFs with infectious diseases. c. they must balance the need for infection control and socialization in the LTCF. d. with fewer staff, it is difficult for a staff member to transmit an infectious disease.
A client weighing 220 lbs. is prescribed to receive 25 mg/kg of a medication, divided over 4 equal doses. How many mg of the medication should the nurse provide for each dose?
What will be an ideal response?
The client developed a slight hematoma on his left forearm. The nurse labels the problem as an infiltrated intravenous (IV) line. The nurse elevates the forearm. The client states, "My arm feels better." What is documented as the "R" in FOCUS charting?
1. "Infiltrated IV line" 2. "My arm feels better" 3. "Elevation of left forearm" 4. "Slight hematoma on left forearm"