The pediatric nurse beginning the morning shift learns during report that an infant may have a heart murmur. Where on the infant's chest will the nurse auscultate for heart sounds?
A) At the second and fifth right and left intercostal spaces and apex area
B) At the first and fourth right and left intercostal spaces, axillae, and apex areas
C) At the third and fourth right and left intercostal spaces, apex, and clavicular areas
D) At the second and fourth right and left intercostal spaces, apex, and axillae areas
D
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Match each term with the correct definition of maternal adaptation stages
a. Passive, dependent b. Begins to see self as a mother c. Autonomous, seeking information 27. Taking-in 28. Letting-go 29. Taking-hold
A nurse is providing teaching for a patient who
will be taking varenicline (Chantix) as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.) a. This drug is available as a chewing gum that can be taken to reduce cravings. b. Use caution when driving because drowsiness may be a problem. c. There have been very few adverse effects reported for this drug. d. Notify the prescriber immediately if feelings of sadness or thoughts of suicide occur. e. Avoid caffeine while on this drug.
The nurse is assessing a patient with ascites caused by liver failure. Which finding would require immediate follow-up by the nurse?
1. asterixis 2. jaundice 3. increased abdominal girth 4. dyspnea
The nurse determines that the nursing diagnosis stress urinary incontinence related to decreased pelvic muscle tone is the most appropriate for an oriented adult female client. A therapeutic nurs-ing intervention based on this diagnosis is to:
1. Apply adult diapers 2. Catheterize the client 3. Administer Urecholine 4. Teach Kegel exercises