A client diagnosed with high blood pressure that is not responding to medications. The nurse suspects renal stenosis. When assessing for this condition, which location will the nurse use for auscultation?
A) renal arteries
B) bladder
C) ureters
D) internal urethral sphincter
Answer: A
The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits ("whooshing" sounds) may indicate renal artery stenosis.
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The nurse working with a client to change behavior to maximize health asked the client to bring his family to the next visit. Which of the following best describes why the nurse wants the family to come with the client?
a. To analyze the family's beliefs about health b. To determine the family's support of the client c. To establish the family's communication patterns d. To evaluate the family's approval of the proposed changes
In a client with sickle cell anemia, why does the nurse auscultate the lungs and heart?
A) To detect the abnormal sounds suggestive of acute chest syndrome and heart failure B) To detect the evidence of infection such as fever and tachycardia C) To detect the evidence of dehydration that might have triggered a sickle cell crisis D) To detect the motor strength and stroke-related signs and symptoms
Which clinical condition should the nurse be concerned about for a client prescribed calcium carbonate (Tums)?
A. Anemia B. Diarrhea C. Kidney stones D. Gastroesophageal reflux disease (GERD)
Which nursing action is inappropriate when providing the client with a hygienic and comfortable environment?
1. Speaking softly in the hall of the facility 2. Obtaining a bed extender for the client who is very tall 3. Placing a room deodorizer in the room of the client with asthma who complains of the odor in the room 4. Maintaining room temperature between 68 °F and 74 °F