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

When performing a respiratory assessment on a patient, the nurse notices a costal vertebral angle (CVA) of approximately 160 degrees. How would finding?

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?

A client with pneumonia is admitted to the medical/surgical floor. Which activity is most important for the nurse to include in the plan of care?

The nurse receives orders for an opiate pain medication for a client with severe pain. What other order does the nurse anticipate getting?

Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

A nurse is preparing to suction a client. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?

The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

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

A client was admitted 2 days ago with pneumonia. The client is now having chest pain. Vital signs are Temperature 37.2 C (98.9 F), Pulse 108, Blood pressure 160/90, respirator rate 24, and Oxygen Saturation 90%. What should the nurse do first?