The nurse is assessing the heart of a 20-year-old adult. Which finding would be considered normal?
a. Aortic thrill
b. Epigastric bruit
c. Mitral click
d. Audible S3
ANS: D
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The new nurse is working with a preceptor on a medical-surgical unit. The nurse has just assessed a client and states to the preceptor, "This client has many odd notions regarding several common health practices. He seems like a deviant to me
" In planning a response, the preceptor is guided by: 1. A definition of deviance that covers all clinical situations. 2. The knowledge that beliefs and behaviors are only deviant if the client thinks there is a problem. 3. The knowledge that beliefs and behaviors are judged by cultural and social considerations. 4. The need for further assessment to determine the duration of the beliefs and actions.
Before administering a medication, the nurse must verify the rights of medication administration, which include:
1) right patient, right room, right drug, right route, right dose, and right time. 2) right drug, right dose, right route, right time, right physician, and right documentation. 3) right patient, right drug, right route, right time, right documentation, and right equipment. 4) right patient, right drug, right dose, right route, right time, and right documentation.
The prescriber has written an order for a patient to be discharged home on triamcinolone acetonide (Azmacort). About what common side effects of this medication should the nurse fo-rewarn the patient?
a. Fatigue and edema b. Anxiety and dysphagia c. Headache and rapid heart rate d. Oral candidiasis and dysphonia
A nurse who is 43 years old and married has called in sick to work for 3 days. When she returns to work, she tells another nurse that her husband was so irritable and angry with her that she was afraid to leave the house
Which phase of the cycle of battering should the nurse recognize? A) Phase I: The Tension-Building Phase B) Phase II: The Acute Battering Incident C) Phase III: The Honeymoon Phase D) Phase IV: The Resolution Phase