A nurse is preparing to listen to the apical heart rate in the area of the mitral valve in an adult client. The nurse should place the stethoscope at the:
A. Second left interspace
B. Second right interspace
C. Left lower sternal border
D. Fifth left interspace at the midclavicular line
Ans: D. Fifth left interspace at the midclavicular line
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What is the appropriate way to assess the fundus of the postpartum patient?
a. Using the side of one hand moving down from the umbilicus b. Using one hand over the lower segment of the uterus c. Using one hand pushing upward from the lower uterus d. Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus
Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
a. Mammogram b. Ultrasound c. Fine-needle aspiration (FNA) d. CA 15-3
A client is 6 centimeters dilated, but she has a strong urge to push. The best nursing action at this time is to
a. closely observe the fetal heart rate for variable decelerations b. give the client a prescribed sedative c. position the client on her side d. suggest that the client use a panting pattern of breathing
The nurse is preparing to admit a 5-year-old with an epidural hemorrhage. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Headache b. Vomiting c. Irritability d. Cephalhematoma e. Pallor with anemia