To hear diastolic heart sounds, you should ask patients to:
a. lie on their back.
b. lie on their left side.
c. lie on their right side.
d. sit up and lean forward.
B
Left lateral recumbent is the best position to hear the low-pitched filling sounds in diastole with the bell of the stethoscope. Sitting up and leaning forward is the best position in which to hear relatively high-pitched murmurs with the diaphragm of the stethoscope. The right lateral recum-bent position is the best position for evaluating the right rotated heart of dextrocardia.
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Before terminating an employee, a nurse manager must:
a. Be an expert in all legal aspects of termination and discipline practices. b. Follow the organization's specific policies for addressing disciplinary problems and termination. c. Function as a counselor for problem employees. d. Do everything to assist and protect the employee by adjusting standards and policies.
An elderly patient who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma?"
What does this statement indicate? A) An incongruent relationship B) A confused relationship C) A non-therapeutic relationship D) An evaluative relationship
A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to complete the admission history, the nurse anticipates that the client will have experienced:
1. Decreased muscle tone 2. Hypertension 3. Diarrhea 4. Fever
Which of the following is not a mediator of inflammation?
A. Prostaglandins B. Histamine C. Bradykinins D. Gamma globulin antibodies E. Products of complement activation