- Tenvironment The Client S Re Create The Wechavior 19 When Listening To Heart Sounds The Nurse Knows The Valve Closures 1 (101 KiB) Viewed 122 times
tenvironment the client's re Create the wechavior 19. When listening to heart sounds the nurse knows the valve closures that can be heard besta the base of the heart are? Aortic and pulmonic 28. While conductis following? a Medical biне, 20. During a cardiovascular assessment of an 80 y/o adult a nurse should consider which of the following as expected findings? a.Narrowing of the inferior vena cava causing bilateral extremities varicosities b.Hormonal changes causing vasodilation resulting in hypotension c.Peripheral blood vessels become more rigid producing a rise in systolic blood pressure d.Atrophy of the muscles causing venous insufficiency 21. While assessing the range of motion (ROM) of a client a nurse should a)Force the joint beyond its normal range b)Continue passive motion of the client expression pain c)Use the same techniques for clients of all ages d)Compare bilaterally strength and motility 22. A patient tells the nurse his food simply doesn't have taste anymore, the nurse's best response would be? When did you first notice this change? 23. Before assessing the client's jugular venous pressure, a nurse would position the head of the bed to how many degrees elevation? 45 degrees 24. When performing a respiratory assessment on a patient the nurse notices a costal angle of approximately 90° this characteristic is? A normal finding in a healthy adult 25. To enhance muscle relaxation prior to an abdominal examination the nurse would: a.Avoid examination of painful areas b.Expose the chest and abdomen for examination c.Ensure adequate lighting d.Place a small pillow under the knees 26.A client has no significant medical history is admitted to the emergency department with difficulty breathing. Which of the following assessment findings should be of most concern to the nurse? a) Pulse oximetry reading of 90% c) Report of dyspnea on exertion d) Respiratory rate off 22 per minute 27.Upon entering the client's room, a nurse asks the client to turn down the volume of the television. The nurse request was intended to