Which of the following is an early sign of an impending heart failure?
A) S1 heart sound B) S3 heart sound C) Heart murmur D) Crackles
B
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Physical examination related to the hematologic system of the adult client should include inspection of the: Select all that apply
1. Skin. 2. Head and neck. 3. Chest. 4. Abdomen. 5. Feet and legs.
The nurse is observing a new graduate perform a postpartum assessment. Which action requires intervention by the nurse?
1. Asking the patient to void and donning clean gloves 2. Listening to bowel sounds, then asking when her last BM occurred 3. Telling visitors the assessment will be quick, then checking the fundus 4. Completing the assessment and explaining the results to the patient
The pineal body is being discussed with a parent. The parent demonstrates the proper understanding of the pineal body's purpose when the parent states:
1. "The pineal body helps my child sleep.". 2. "The pineal body can improve my child's cognitive ability as he grows.". 3. "The pineal body will regulate the height of my child.". 4. "The pineal body can affect the timing of my child's puberty.".
When the patient's response exceeds the prescribed parameters at the minimal dose, you should
A. lower the infusion rate and notify the AP. B. keep the infusion at the minimal rate. C. discontinue the infusion and notify the AP. D. continue to titrate the infusion upward.