While performing a focused cardiac assessment, the nurse auscultates an abnormal swooshing sound. Which action is most appropriate to clarify the nurse's finding?
a. The nurse uses the diaphragm of the ste-thoscope while asking the patient to take a deep breath.
b. The nurse uses the bell of the stethoscope while asking the patient to lean forward.
c. The nurse asks the patient about a history of heart stents.
d. The nurse asks the patient about a history of cardiac dysrhythmias.
Question 2The nurse is educating a 50-year-old patient about diabetes monitoring. Which statement reinforces the American Diabetes Association's (ADA's) recommendation?
a. Obtain regularly scheduled fasting blood glucose levels.
b. Strictly adhere to weight reduction diets.
c. Exercise regularly in intervals lasting a minimum of 30 minutes.
d. Use stress reduction techniques.
Question 3The nurse caring for a patient with advanced AIDS. While collecting data, the nurse notes a weight loss of several pounds, poor food consumption, and complaint of no appetite.
Based on these findings, the nurse should carefully monitor the patient for development of which problem?
a. Lymphedema
b. Hyperglycemia
c. Hypertension
d. Anasarca
Question 4The nurse is educating the patient about the significance of islet cell antibodies. Which statement accurately describes islet cell antibodies?
a. Islet cell antibodies cause beta cells to quit producing insulin and lead to type 1 di-abetes mellitus (DM).
b. Islet cell antibodies protect beta cells from viral attack.
c. Islet cell antibodies increase production of insulin from beta cells.
d. Islet cell antibodies decrease the size of the pancreas.
Question 5The industrial nurse examines an employee who complains of right shoulder pain on abduction. He points with one finger to the exact location of the pain and mentions that he won a racquetball tournament yesterday.
The nurse suspects the employee is suffering from which problem?
a. Rotator cuff tear
b. Bursitis
c. Dislocation
d. Subluxation
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