A nurse on a medical-surgical unit is admitting a client. Which of the following
information should the nurse document in the client’s record first?
Assessment
A nurse is witnessing a client sign an informed consent form for surgery. Which
of the following describes what the nurse is affirming by this action?
The signature on the preoperative consent form is the client’s
A nurse on a medical-surgical unit is washing her hands prior to assisting with a
surgical procedure. Which of the following actions by the nurse demonstrates
proper surgical hand-washing techniques?
The nurse washes with her hands held higher than her elbows.
A nurse at a screening clinic is assessing a client who reports a history of a heart
murmur related to aortic valve stenosis. At which of the following anatomical
areas should the nurse place the stethoscope to auscultate the aortic valve?
Second intercostal space to the right of the sternum
A nurse is measuring vital signs for a client and notices an irregularity in the
pulse. Which of the following actions should the nurse take?
Count the apical pulse rate for 1 full minute, and describe the rhythm in
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