PracticeQuizzesFundamentals1-40preguntasFundamentals1Version6A nurse is assessing the heart sounds of a client who has developed chest pain that becomesworse with inspiration. the nurse auscultates a high-pitched scratching sound during bothsystole and diastole with diaphragm of the stethoscope positioned at the left sternal border.Which of the following heart sounds should the nurse document?PericardialfrictionrubA nurse is obtaining the blood pressure in a client's lower extremity. Which of the following actionsshould the nurse take?Placethebladderofthecuffover theposterioraspectofthethighA charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newlylicensed nurses. Which of the following actions should the charge nurse teach as the firstresponse in CPR?ConfirmunresponsivenessA nurse is caring for a client who requires a chest x-ray. Prior to the client being transportedfor the procedure, which of the following actions should the nurse take first?Identify theclient using two identifiersA nurse is caring for a child who is postoperative following a tonsillectomy. Which of thefollowing actions should the nurse take?Administeranalgesicstothechildonaroutineschedulethroughout thedayandnight.A nurse is providing teaching to a client who has heart failure about how to reduce his dailyintake of sodium. Which of the following factors is the most important in determining theclient's ability to learn new dietary habits?Theinvolvement oftheclientinplanningthechangeA charge nurse is observing a newly licensed nurse perform tracheostomy care for a client.Which of the following actions by the newly licensed nurse requires intervention?ObtainingcottonballsforthetracheostomycareA nurse is preparing to perform mouth care for an unresponsive client. Which of thefollowing actions should the nurse plan to take?Raisethelevel ofthebedA nurse is witnessing a client sign an informed consent form for surgery. Which of thefollowing describes what the nurse is affirming by this action?Thesignatureonthepreoperativeconsentformistheclient'sPreview Mode
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