The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of the stethoscope to determine the cause of this problem?
a. Ensure the stethoscope tubing is at least 20 inches long.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
c. Ensure the earpieces are pointed toward the back of the ears.
d. Ensure the bell is placed firmly against the patient's skin.
ANS: B
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A 20-year-old man has presented to the emergency department with a 24-hour history of abdominal pain. The nurse who is admitting the patient notes that he is diaphoretic, wincing, and guarding the lower right quadrant of his abdomen
The nurse asks the patient to rate his pain on a scale of 1 to 10, to which the patient responds, "One or two." How should the nurse best respond to this patient's statement? A) Administer ibuprofen or acetaminophen rather than an opioid. B) Reassess the patient's pain in 30 to 45 minutes. C) Explain the 0-to-10 pain scale in greater detail. D) Document the fact that the patient has slight pain.
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