The nurse hears a splitting of the S1 (first heart sound) on auscultation of a 25-year-old client. What is the nurse's best action?
A. Repeat the auscultation using the diaphragm of the stethoscope.
B. Repeat the auscultation with the client lying on the left side.
C. Notify the physician.
D. Document the finding.
D
A split S1 is considered a normal heart sound caused by the mitral valve closing ahead of the tri-cuspid valve in response to left ventricular contraction occurring slightly ahead of right ventricu-lar contraction.
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A patient is taking 36 units of glargine insulin (Lantus) each morning. This insulin's duration is in which range?
a. 1 to 3 hours b. 6 to 8 hours c. 20 to 24 hours d. 24 to 48 hours
Which of the following statements made by the client indicates a need for more teaching by the nurse concerning prevention of reinfestation with parasites?
a. "All my beef will be cooked thoroughly before eating." b. "I will wash my hands after using the bathroom." c. "Apples can be eaten without being washed." d. "I will wear my sandals at the beach."
During childbirth education, a woman should be advised that she may have a sudden gush of fluid from the vagina as she approaches her expected delivery date. Which statement best explains this event?
a. The fluid, often called bloody show, is caused by the expulsion of a protective mucous plug from the cervix. b. This loss of fluid is usually related to overexertion during the sudden burst of energy that often occurs shortly before labor begins. c. Rupture of amniotic membranes allows the amniotic fluid to flow from the uterus through the vagina. d. The passage of fluid eliminates excess water in preparation for the process of labor.
Test Result: Low pH (<4.5)
What will be an ideal response?