The nurse auscultating heart sounds suspects the client has a murmur. Which action should the nurse take?
A. Inform the client of "the abnormality."
B. Document the finding with a plan to reassess the patient on the next visit.
C. Stop the assessment and refer the client to the healthcare provider.
D. Request another examiner to assess the finding.
Answer: D
You might also like to view...
An adolescent female client who had lived on the street for at least a year dresses provocatively, wears heavy make-up, and is flirtatious in her interactions with adults. The nurse:
1. Directs her to wash her face and put on appropriate clothing. 2. Recognizes the client may be acting out her life script. 3. Restricts the client to her room. 4. Encourages her to seek spiritual guidance.
A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications
She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care? A) Assessment and documentation of cognitive changes, including confusion and restlessness B) Regular pain assessment and administration of opioid analgesics as needed C) Assessment of swallowing ability and respiratory status D) Cardiac monitoring and administration of inotropic medications
A school-age child is scheduled for a muscle biopsy. What should the nurse teach the patient about the procedure?
A) Medication will be given so pain is minimized. B) The amount of muscle tissue taken is about 2 in. C) Bed rest for several days will need to be done afterward. D) Long-term pain medication will be needed after the procedure.
If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?
a. Hysterectomy b. Laparoscopy c. Laparotomy d. Dilation and curettage (D&C)