When performing a focused cardiac assessment on a newly admitted client, the nurse notes a heave on the left side of the chest. What can a heave signify?

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

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?

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

A postoperative client with a tracheostomy tube in place suddenly begins have noisy, bubbly sounding respirations. What action should the nurse take first?

When assessing tactile fremitus, increased tactile fremitus is expected under which condition?

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

Which nonpharmacologic pain treatment should the nurse avoid using in an older adult who shows signs of confusion?

The nurse wants to prevent venous thrombus (DVT) formation in a client after surgery. What action should the nurse delegate to the certified nursing assistant/patient care assistant to help prevent DVT formation in the client?

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

When assessing a newly admitted client, the nurse notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which action will the nurse take next?