When auscultating heart sounds, the nurse should:
a. listen at the 3rd intercostal space on the right side of the client's chest.
b. count the lub-dub as one beat.
c. count for 15 seconds and multiply by 4.
d. expect the count to be different from the peripheral pulse.
ANS: B
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While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a significant amount of aspirin while she was pregnant. What question would the nurse want to include in the history?
a. "Does your baby seem to startle with loud noises?" b. "Has your baby had any surgeries on her ears?" c. "Have you noticed any drainage from her ears?" d. "How many ear infections has your baby had since birth?"
A patient has come to the clinic and been diagnosed with Lyme disease. The physician has ordered oral tetracycline. What is important for the nurse to include in the teaching plan about tetracycline? (Select all that apply.)
A) Do not take the drug with anything high in sodium content to keep from producing a state of hypernatremia in the body. B) Do not take the drug with foods or other drugs that contain calcium. C) Do not take the drug at the same time you take an iron supplement or with foods that are high in iron content. D) Avoid exposure to the sun when taking this drug as it can turn your skin purple. E) Avoid eating bananas at the same time you take this drug as the potassium content of the tetracycline can produce hyperkalemia in the body.
Expectant mothers should hear from their nurses that normal labor consists of all of the following except:
1. a single fetus presents by vertex. 2. it is completed within 8 hours. 3. regular progression of contractions, effacement, dilation, and descent. 4. No complications exist.
A rural hospital's director of nursing (DON) is establishing a telehealth system. What actions by the DON are important policy measures? (Select all that apply.)
a. Creating work agreements that consider licensure issues b. Educating staff on telehealth practice and procedures c. Ensuring confidentiality in telehealth records and encounters d. Reducing patient perception of "distance" in interactions e. Writing policies that include ethics applied to telehealth