The nurse is assessing a client's precordium. Which of the following should be included in this assessment? (Select all that apply.)
1. Palpate the precordium.
2. Palpate temperature and pulses of extremities.
3. Assess blood pressure.
4. Percuss the precordium.
5. Auscultate heart sounds.
6. Identify the location and timing of heart sounds.
1, 2, 4, 5, 6
When assessing a client's precordium, the following should be included palpation of the precordium, palpation of extremities for temperature and pulses, percussion of the precordium, auscultation of heart sounds, and location and timing of heart sounds. Blood pressure is not a part of the precordium assessment.
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The nurse is assessing a client who presents in the emergency department (ED) with abdominal pain, nausea, and vomiting. Vital signs are within normal limits
The client's health history indicates pelvic inflammatory disease, mitral valve prolapse, and childbirth. When analyzing the available data, what items should be clustered together? 1. Vital signs, complaints of pain, history of childbirth. 2. Abdominal pain, nausea, vomiting, and history of pelvic inflammatory disease. 3. Gender, history of mitral valve prolapse, and vital signs. 4. History of pelvic inflammatory disease, mitral valve prolapse, and pain scale reports.
You are caring for a preoperative patient. You have given the patient a preoperative narcotic and the patient is now requesting to void. What action should you take?
A) Assist the patient to the bathroom. B) Offer the patient a bedpan. C) Wait until the patient gets to the operating room and is catheterized. D) Have the patient go to the bathroom.
Which of the following is most important when contraceptive care is provided to the client?
A) Fitting contraceptives for the client to determine size B) Providing detailed education to the client C) Offering emergency contraception to the client D) Discussing preferences with the client's partner
The nurse is obtaining preoperative assessment data. What should be included in this assessment?
1. Current health status 2. Allergies 3. Current medications 4. Mental status 5. Mother's maiden name