Questions And Answers 2025 Already
Graded A+
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A nurse observes assistive personnel (AP) preparing to
obtain bp w/ a regular-sized cuff for a client who is
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obese. Which of the following explanations should the
nurse give the AP? - ANSWER-"Using a cuff that is too
small will result in an inaccurately high reading"
Nurse auscultates a high pitched scratching sound during
systole and diastole w/ diaphragm of the stethoscope.
, Which of the following heart sounds should the nurse
document? - ANSWER-Pericardial friction rub
A nurse is providing oral care for a client who is
unconscious. Which of the following actions should the
nurse take? - ANSWER-Place the client in a lateral
position w/ the head turned to the side before beginning
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the procedure
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(reduces the risk of aspiration of fluids and secretions)
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The light reflex is visible in the right lower quadrant of
the tympanic membrane. Which of the following actions
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should the nurse take in response to this finding? -
ANSWER-Document as expected finding
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A nurse is performing a physical assessment of a client.
Which of the following actions should the nurse take to
assess the client's tissue perfusion? - ANSWER-Perform a
blanch test