A client is newly diagnosed with a heart murmur and asks the nurse to explain what this means. What is the nurse's best response?
a. "It is a rushing sound that blood makes moving through narrow places."
b. "It's the sound of the heart muscle stret-ching in an area of weakness."
c. "It's a term doctors use to describe the efficiency of blood circulation."
d. "It is the sound the heart makes when it is has an increased workload."
A
Murmurs reflect turbulent blood flow through normal or abnormal valves. The significance of a murmur depends on its cause. Some murmurs are associated with a healthy heart that ejects blood quickly and turbulently from the left ventricle. Other murmurs may be indicators of severe valve, vessel, or heart problems.
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The client remarks "My husband and I get along just fine. We usually agree on everything.". As the
client speaks her foot is moving continuously and she twirls a button on her blouse. What assessment can the nurse make? The client's communication is a. clear. b. explicit. c. inadequate. d. mixed.
A male client informs the nurse his partner is infected with chlamydia and he is concerned he may be infected as well. The nurse questions him to determine if he has any of the following manifestations:
A) urinary retention B) blisters on the penis C) painful intercourse D) urethral discharge
Sensitivity and specificity are important criteria for screening and diagnostic instruments. What is specificity?
A) Different method of measuring the same attributes yielding similar results B) Ability to differentiate the construct being measured from other similar concepts C) Instrument's ability to identify a case correctly D) Instrument's ability to identify noncases correctly.
The abbreviation NPO means that the patient can
A. have no food, but may drink clear liquids. B. have no beverages, but may have soft food. C. have nothing to eat or drink. D. not leave the room.