The nurse is attempting to identify the timing of a murmur detected in a client. The additional activity necessary to make this assessment would be
a. assessment of blood pressure.
b. estimation of the client's fluid status.
c. evaluation of peripheral pulses.
d. identification of S1 and S2.
D
It is imperative to identify S1 and S2 heart sounds to determine the place and duration. The mur-mur is then described as occurring in early, mid, or late systole or diastole.
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A parish nurse providing a class for parishioners on breast cancer informs the group that the American Cancer Society (ACS) recommends that a baseline mammogram should be obtained by the age of:
A) 25 years B) 33 years C) 40 years D) 45 years
Which action should the nurse do to provide support and encouragement to the new postpartum client?
a. Recount how she solved her own problems. b. Correct the new mother at every opportunity. c. Praise the mother's early attempts at infant care. d. Explain to the new mother that everything will be fine.
The nurse is taking care of a client on a postsurgical care unit. When initiating the evaluation phase of the nursing process, who is in the pivotal role?
A) Client B) Nurse C) Surgeon D) Family
The schizophrenic patient tells you, "I know that the man down the hall wants to kill me." How should you respond?
A. "I will protect you from him." B. "What makes you say that?" C. "Let's walk over here to join in afternoon activities." D. "You need to go to your room."