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The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

Heart murmurs (S3, S4)

Breath sounds

Normal heart (S1,S2)

Bowel sounds

Answer and Explanation

The Correct Answer is A

A. The bell of the stethoscope is used to detect low-pitched sounds such as heart murmurs (S3 and S4).

B. Breath sounds are typically auscultated using the diaphragm of the stethoscope.

C. Normal heart sounds (S1, S2) are best heard using the diaphragm of the stethoscope.

D. Bowel sounds are auscultated using the diaphragm, not the bell.

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Free Nursing Study Resources

Correct Answer is ["0.8"]

Explanation

To calculate the volume of enoxaparin to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose required is 30 mg, and the concentration available is 40 mg/mL. Plugging the values into the formula gives you: Volume = 30 mg / 40 mg/mL = 0.75 mL. Therefore, the nurse should administer 0.8 mL when rounded to the nearest tenth.

A. Beau's line B. Koiloncychia C. Clubbing D. Onycholysis

Correct Answer is C

Explanation

A. Beau's lines are horizontal depressions across the nail, unrelated to clubbing.

B. Koilonychia refers to spoon-shaped nails, not convexed nails.

C. Clubbing is a condition where the nails become convex and the angle between the nail bed and finger increases, often associated with chronic hypoxia or lung diseases like COPD.

D. Onycholysis is the separation of the nail from the nail bed, unrelated to convexed nails.

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The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.8"]

Explanation

While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?

Correct Answer is C

Explanation

When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

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Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

A nurse is caring for a 24-year-old client who reports a recent fall, hitting their head and right shoulder. Exhibits Complete the sentence by using the list of options. The nurse should first address the client's followed by the client's .

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)