The nurse suspects a client's heart is failing when which of the following heart sounds is assessed?
1. S1
2. S2
3. S3
4. S4
3
An auscultated S3 is a sign that increased blood volume remains in the ventricle with each beat and that the heart is beginning to fail. S1 and S2 sounds are the first and second sounds heard when auscultating the heart. An S4 sound may indicate increased resistance to ventricular filling.
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A nurse is planning care for a client who is anxious and irritable. The client's arterial blood gas values are pH 7.30, PaO2 96 mm Hg, PaCO2 43 mm Hg, and HCO3- 19 mEq/L. Which questions should the nurse ask the client and spouse when developing the plan
a. "Are you taking any antacid medications?" b. "Is your spouse's current behavior typical?" c. "Do you drink any alcoholic beverages?" d. "Have you been experiencing any vomiting?" e. "Are you experiencing any shortness of breath?"
A nurse is providing discharge teaching for a client with iron deficiency anemia. The client has been prescribed ferrous sulfate and has been told to increase the intake of foods that are naturally high in iron
Which client statements indicate a need for further education? Select all that apply. A) "I will take my ferrous sulfate tablet with my morning oatmeal." B) "I will decrease my intake of green leafy vegetables while taking my ferrous sulfate tablet." C) "I will increase my fluid intake while I am taking my ferrous sulfate." D) "I will take my ferrous sulfate tablet on an empty stomach." E) "I will decrease milk intake while taking my ferrous sulfate tablet."
Write 0.75 as a fraction in lowest terms and as a percentage
1. 75/100; 75% 2. 15/20; 7.5% 3. 15/20; 75% 4. ¾; 75%
The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement made by the patient indicates that teaching has been effective?
1. "All the evidence will be kept in a locked cupboard until the police arrive." 2. "You have to collect evidence to prove I wasn't sexually active." 3. "The evidence you collect might be able to identify the rapist." 4. "I will find out whether the rapist has HIV from the evidence."