Take full exam for free

The nurse is asked to describe what the heart sound S1 represents. What would be the correct response by the nurse?

How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

The nurse is assessing a newly admitted client for heart failure. What findings would the nurse expect to find during the assessment? Select all that apply.

Which statement by the nurse indicates the correct order of steps to take when performing a focused assessment of the respiratory system?

A client is admitted with a venous insufficiency of the right leg. What assessment findings does the nurse expect to find with this condition?

The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?

The RN and certified nursing assistant/patient care assistance (CNA/PCA) are caring for five clients on a medical/surgical unit. Which of the following tasks would be most appropriate for the nurse to delegate to the CNA/PCA?

When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

The nurse is percussing over the lungs of a client with pneumonia. What sound will the nurse expect to hear?

The nurse is on the medical/surgical floor is getting a new admission. The client is being admitted for shortness of breath (dyspnea). Which assessment finding would be of concern?

The nurse obtains information when performing a focused assessment of a client with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea (shortness of breath) over the last 3 days. Which finding is most important to report to the health care provider?