fundamentals virtual ati Questions with correct answers

proper surgical hand washing Correct Answer - The nurse who is performing a surgical hand-washing technique should wash with her hands held higher than the elbows so that water and soapsuds can drain away from the clean area toward the dirty area. percardial friction rub Correct Answer - A pericardial friction rub has a scratching, grating, or squeaking leathery sound. It tends to be high frequency and best heard with the diaphragm of the stethoscope at the third intercostals space of the left sternal border. A pericardial friction rub is a manifestation of pericardial inflammation and can be heard with infective pericarditis, myocardial infarction, following cardiac surgery or trauma, and with some autoimmune problems, such as rheumatic fever. The client who develops pericarditis typically has chest pain which becomes worse with inspiration or coughing and which may be relieved by sitting up and leaning forward. murmer Correct Answer - abnormal swishing sound caused by improper closure of the heart valves third heart sound Correct Answer - A third heart sound is a low-pitched sound after the second heart sound. An S3 is caused by rapid ventricular filling during diastole. Audible click (heart sound) Correct Answer - An audible clicking sound occurs in clients who have prosthetic valve replacement surgery. blood pressure machine begins to read and weird intervals and seems to give inconsistant readings, what should the nurse do Correct Answer - disconnect the machine and manually get the blood pressure readings