Question

32.a nurse is checking the apical pulse of a client who is taking several cardiovascular medications. which of the following actions should the nurse take? a. count the apical pulsations for a full minute. b. check the apical pulse with a doppler device. c. use the diaphragm of the stethoscope to listen to the apical pulsations. d. press the stethoscope firmly against the clients skin. 33.a nurse is checking a clients bowel sounds. at which of the following times should the nurse auscultate the clients abdomen? a. after palpating the abdomen b. prior to percussing the abdomen c. after checking for kidney tenderness d. prior to inspecting the abdomen 34.a nurse is reviewing the laboratory results of a client who has a pressure ulcer. the nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection? a. bun b. potassium c. rbc count d. wbc count 35.a nurse is collecting data from a client who sustained blood loss. which of the following findings should the nurse identify as a manifestation of hypovolemia? a. decreased heart rate b. dyspnea c. increased blood pressure d. thready pulse

Explanation:

• Question 32: When checking the apical pulse of a client on cardiovascular medications, counting for a full minute (A) is correct as it allows for accurate detection of any irregularities. A Doppler (B) is for hard - to - find pulses, the bell (not diaphragm, C) is better for low - pitched heart sounds, and firm pressure (D) can interfere with sound transmission.
• Question 33: Bowel sounds should be auscultated prior to percussion (B) as percussion can alter bowel sounds. Auscultation should be done before palpation (A) and after inspection (D), and kidney tenderness (C) is part of palpation which should come after auscultation.
• Question 34: An elevated white blood cell (WBC) count (D) indicates infection. BUN (A) relates to kidney function, potassium (B) is an electrolyte, and RBC count (C) is for anemia or blood loss.
• Question 35: A thready pulse (D) is a manifestation of hypovolemia. Hypovolemia causes increased (not decreased, A) heart rate, normal or decreased (not increased, C) blood pressure, and dyspnea (B) is more related to respiratory or cardiac (e.g., heart failure) issues rather than hypovolemia.

Answer:

• 32. A. Count the apical pulsations for a full minute.
• 33. B. Prior to percussing the abdomen.
• 34. D. WBC count.
• 35. D. Thready pulse.