While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
A
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A critically ill newborn is the child of two parents who are Catholic. What action should the nurse take regarding the baptism of this infant?
1. Baptize the baby. 2. Ask the parents for direction in whom they want to baptize the baby. 3. Ask the hospital chaplain to baptize the baby. 4. Ask the doctor to baptize the baby.
The FOUR (Full Outline of UnResponsiveness) tool is based on the assessment of the status of the: (Select all that apply.)
a. eye response. b. motor response. c. brainstem response. d. respiratory function. e. reflex response.
The nurse states that the goal of HAART is:
1. reduction of the plasma level of HIV to the lowest level possible. 2. elimination of the virus from the lymph system. 3. reduction of side effects seen with other HIV-AIDS drugs. 4. elimination of the virus from the bloodstream.
Swelling of a body part as a result of lymphatic obstruction is labelled
a) lymphoedema b) lymphadenopathy c) atrophic change d) central cyanosis