The nurse is having difficulty hearing his patient's apical pulse with his stethoscope. Which of the following would best maximize the sound quality of what is heard through the stethoscope?

a. Positioning the diaphragm very lightly on the area to which he is listening
b. Placing the stethoscope chest piece di-rectly on the patient's skin
c. Make sure that the earpieces fit loosely in the ear canals
d. Use a stethoscope with the longest tubing available


B
Always place the stethoscope directly on the skin because clothing obscures the sound. Position the diaphragm to make a tight seal against the patient's skin. Exert enough pressure on the di-aphragm to leave a temporary red ring on the patient's skin when the diaphragm is removed. Make sure the plastic or rubber earpieces fit snugly in the ear canal and that the binaurals are an-gled and strong enough so the earpieces stay firmly in place without causing discomfort. The polyvinyl tubing is flexible and 30 to 45 cm (12 to 18 inches) in length. Longer tubing decreases sound wave transmission.

Nursing

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The community health nurse is preparing a presentation for a group of nursing students about the societal influences on the development of community health nursing. Which of the following would the nurse include? Select all that apply

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Nursing

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a. Referent c. Coercive b. Information d. Connection

Nursing

After teaching a group of students about the International Classification of Functioning, Disability, and Health, the instructor determines that the teaching was successful when the students identify the primary emphasis as which of the following?

A) Disease B) Body structure C) Activities D) Function

Nursing