During auscultation of the heart of a client with left ventricular failure, the nurse notes the presence of a third heart sound (S3) gallop. What can the nurse infer from this finding?
A. Left ventricular pressure is increased.
B. There is a decrease in ventricular compliance.
C. The client has been noncompliant with the medication regimen.
D. The client should be prepared for transfer to the intensive care unit.
A
The presence of an S3 gallop is an early diastolic filling sound indicative of increasing left ven-tricular pressure.
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A nurse is teaching a class to new mothers who are also high school students. What action by the nurse is the most appropriate in order to decrease the risk of child maltreatment?
A. Explain the laws regarding child abuse and neglect. B. Provide education on normal childhood development. C. Refer all the young mothers to a social service agency. D. Teach the mothers signs and symptoms of abuse.
A nursing administrator who is considering the feasibility of an all-RN staff reviews the report, Keeping Patients Safe: Transforming the Work Environment of Nurses (2003) and determines that RNs: (Select all that apply.)
a. are more costly and less efficient than LPNs. b. have little or no effect by being proactive but instead are reactive to patient care errors. c. have a positive effect on patient outcomes when managing patient care. d. are effective overseers of patients' overall health condition. e. lack the training to be effective delegators.
Although all of the following components are important, which two components of nursing care are identified by home health care nurses as most important when caring for clients in the home?
A) Computer knowledge, cultural diversity B) Physical assessment, infection control C) Communications, technical skills D) Documentation, problem solving
An instructor overhears a student say, "That family seems to disagree more than agree. The family seems to be dysfunctional." To further assess the family's situation, which would be an appropriate instructor reply?
A. "Families who disagree can be a challenge to the treatment team." B. "You seem very critical of the family. Do you believe that you are unable to help them?" C. "Let's bring the family in for an educational session to improve their communication." D. "What appears to trigger family disagreements?"