When auscultating the heart of a patient with pericarditis, the nurse expects to hear which sound?
a. A systolic murmur
b. An S3 heart sound
c. A friction rub
d. An S4 heart sound
ANS: C
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Which of the following would NOT be included in a heparin protocol?
A. Orders for IV bolus doses B. Dosage based on BSA C. Maximum dose D. Initial or starting dose
The nurse is caring for a newly admitted patient who has severe gastroenteritis. The patient's electrolytes reveal a serum sodium level of 140 mEq/L and a serum potassium level of 3.5 mEq/L
The nurse receives an order for intravenous 5% dextrose and normal saline with 20 mEq/L potassium chloride to infuse at 125 mL per hour. Which action is necessary prior to administering this fluid? a. Evaluate the patient's urine output. b. Contact the provider to order arterial blood gases. c. Request an order for an initial potassium bolus. d. Suggest a diet low in sodium and potassium.
Which of the following statements best describes object permanence?
a. An object is always within eyesight. b. Materials do not get eaten or thrown away. c. The mother makes certain that favorite toys remain with a child. d. The infant realizes an object continues to exist even when out of sight.
Organs in the abdominal cavity include the liver, spleen, and pancreas
True False