A nurse is auscultating heart sounds of an adult client experiencing dyspnea. The nurse
hears a soft, turbulent sound between beats at the left midclavicular line in the fifth intercostal
space. Which of the following is an appropriate documentation of the findings?
A nurse is teaching a client who has a newly documented latex allergy. Which of
the following statements by the clients indicates an understanding of the teaching?
A nurse is obtaining a medical history from a client who has a new diagnosis of type 2
diabetes mellitus. The nurse should report which of the following conditions is a contraindication
for the use of metformin?
Polycystic ovary syndrome
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the following complications?
A nurse on a surgical pediatric care unit receives report prior to providing care for a group
of clients. Which of the following clients should the nurse assess first?