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While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart ...

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While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart ...

While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart sound. The nurse suspects that this is a murmur. Which nursing action is most appropriate?
1. Informing the client of “the abnormality.”
2. Stopping the assessment and referring the client to the healthcare provider immediately.
3. Bring in another examiner to assess the finding.
4. Documenting the finding and reassessing at the client’s next visit.

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Health & Physical Assessment In Nursing

Edition: 3^rd

Authors: D'Amico, Barbarito

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The whole secret of life is to be interested in one thing profoundly and in a thousand things well.

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