Which is the best position in which to place the patient to hear low-pitched cardiovascular sounds?
a. Supine
b. Sitting up
c. Dorsal recumbent
d. Left lateral recumbent
D
Different positions help to clarify types of sounds heard. Sitting position is best to hear high-pitched murmurs (if present). Supine is a common position to hear all sounds. Left lateral recumbent is the best position to hear low-pitched sounds.
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An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply
A) Cholesteatomas are benign and self-limiting, and hearing loss will resolve spontaneously. B) Cholesteatomas are usually the result of metastasis from a distant tumor site. C) Cholesteatomas are often the result of chronic otitis media. D) Cholesteatomas, if left untreated, result in intractable neuropathic pain. E) Cholesteatomas usually must be removed surgically.
A client with a personality disorder tells the nurse that he has been in treatment for several years and wants to give up since it does not seem to be working. Which of the following should the nurse do to support this client?
1. Agree that the treatment is futile 2. Tell the client that it is his choice to continue or not continue 3. Suggest that the client is expecting too much 4. Maintain the client's hope that the treatment is beneficial and is working to help alleviate the problem
The nurse teaches a class to patients about how to help prevent medication errors when in the hospital. What is a priority question for the nurse to ask the patients?
1. "Do you know the names of all the medications you take?" 2. "Do you trust your physician to order the correct medication?" 3. "Do you have a friend to verify that you are receiving the correct medication?" 4. "Do you know what your illness is, and if you will need surgery?"
A client with osteoarthritis does not want to use medication for pain control. What can the nurse suggest to improve the symptoms of this disorder?
Standard Text: Select all that apply. 1. Begin a walking program. 2. Perform exercises to strengthen the quadriceps muscle. 3. Discuss the use of a brace with the health care provider. 4. Consider losing weight. 5. Schedule joint replacement surgery as soon as possible.