When auscultating a client's AV fistula, the nurse notes a whooshing sound. What term is used to describe this finding?
A. Bruit
B. Murmur
C. Gallop
D. Click
Answer: A
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The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?
a. The bowel sounds are hyperactive in all four quadrants. b. The patient's lungs have crackles audible to the midchest. c. The nasogastric (NG) suction is returning coffee-ground material. d. The patient's blood pressure (BP) has increased to 142/84 mm Hg.
The nurse is working in a well-baby clinic that serves many recent immigrants to the United States. She observes many child care practices that are different from what she has been taught. How should the nurse handle these situations?
a. Tell parents that they must learn how to do things "the American way." b. Ask the parents to tell her about their customs to determine whether they are harmful. c. Explain that folk practices are superstitious and may be harmful to their child. d. Tell the parents she cannot care for their child unless they follow her instructions.
The nurse caring for a Native American client should inquire if the client utilizes which of the following?
A) Medicine man or woman B) Priest C) Rabbi D) Preacher
The nurse is planning an educational program. Which activity would be important for the nurse to do?
A. Avoid rehearsing the content or it will sound too practiced. B. Come early to set up the audiovisual materials and be sure the equipment is working. (Bring an extra projector bulb and an extension cord.) C. Remind all possible participants that early registration is required (so you can plan) and no one should bring extra people. D. Work very hard to get as many free handouts and freebies as possible so people will want to come to future programs.