A client is noted to be leaning forward with arms supporting body weight as the nurse enters the exam room. For what disease process should the nurse assess fully?

A client is noted to be leaning forward with arms supporting body weight as the nurse enters the exam room.  For what disease process should the nurse assess fully?

While auscultating a client’s lungs, the nurse notes the presence of adventitious sounds. Which of the following actions should the nurse do first?

Because of calcification of the costal cartilage and loss of accessory musculature, the older adult may have decreased chest expansion when breathing, but the chest expansion should be symmetical.

The nurse is assessing the various lobes of the client’s lungs. To gather accurate data, the nurse must assess which lobe anteriorly, since this lobe does not extend to the posterior chest?

 When listening to heart sounds over the precordium, what area is being auscultated when the  stethoscope is placed on the third space at the left sternal border?

The nurse is analyzing the data from the assessment of a client’s heart and neck vessels. The client’s first heart sound corresponds with what event in the cardiac cycle?

The nurse is listening to the precordium, and identifies a heart murmur so loud it can be heard with the stethoscope not in full contact with the chest.  What rating would this murmur merit?

On examination, the nurse would expect what finding if a client is in right-sided failure?

Assessment of a client’s radial pulse reveals that it is weak and easy to obliterate with light pressure. The nurse documents the pulse amplitude as which of the following?

A nurse assesses a client’s capillary refill and finds it to be about 4 seconds. Which of the following should the nurse do next?