When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by:
A. The presence of occasional coupled beats
B. Long pauses in an otherwise regular rhythm
C. A continuous and totally unpredictable irregularity
D. Slow but Strong and regular Beats
Ans: C. A continuous and totally unpredictable irregularity
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Nurses in an in-patient rehabilitation center are accustomed to working 12-hour shifts. The director of nursing is encouraging the nursing staff to consider adding 8-hour shifts to the existing traditional or 12-hour shift blocks
What type of change effort strategy is the director of nursing using? a. normative-reeducative c. systems thinking b. power-coercive d. rational-empirical
The nurse is attempting to open communication with a client who is crying. The most appropriate initial response for the nurse would be:
a. Don't cry. b. I understand why you are crying. c. Why are you crying? d. You appear upset.
The nurse cares for a patient who had an angiogram of the aorta with a contrast medium approximately 4 hours ago. Which is the priority patient assessment for the nurse to monitor for early detection of an allergic reaction to the dye?
a. Pallor b. Pruritus c. Tachycardia d. Cool skin
A nurse is caring for a client with acute pain. Which nursing intervention requires an order from the physician?
A) Providing a heat application B) Changing the client's position C) Providing a back rub D) Massaging the client's hands