When performing a focused cardiac assessment on a newly admitted client, the nurse notes a heave on the left side of the chest. What can a heave signify?

The nurse is percussing over the lungs of a client with pneumonia. What sound will the nurse expect to hear?

Which nonpharmacologic pain treatment should the nurse avoid using in an older adult who shows signs of confusion?

A nurse is performing a cultural assessment using the LEARN mnemonic for communication. Which area will the nurse assess for the "L" portion of the mnemonic?

When performing a cardiovascular assessment, what would the nurse understand about an S4 heart sound?

When teaching a health promotion class at a retirement home for individuals 65 or greater, which information would the nurse include about ways to decrease the spread of respiratory infections?

The nurse is performing a focused cardiovascular assessment on a 70-year-old client. What finding would be considered abnormal? No palpable vibration felt over the precordium (chest wall)

How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

When performing a cardiovascular assessment, what would the nurse understand about an S3 heart sound? Select all that apply

When assessing tactile fremitus, increased tactile fremitus is expected under which condition?

The nurse is reviewing the risk factors for a blood clot in a vein. Which of these situations can put a client at higher risk for developing a blood clot in a vein? Select all that apply.