While Performing a Physical Assessment on an Adult Client,the Nurse

question 13

Multiple Choice

While performing a physical assessment on an adult client,the nurse identifies an unfamiliar heart sound.The nurse suspects that this is a murmur.What is the nurse's next step?

• A)Inform the client of "the abnormality."
• B)Stop the assessment and refer the client to the healthcare provider immediately.
• C)Bring in another examiner to assess the finding.
• D)Document the finding and reassess at the client's next visit.

---

Definitions:

Win-lose Orientation

A competitive approach to conflict resolution where one party seeks to win at the expense of the other, often leading to negative outcomes for relationships.

Mixed-motive

Games or situations where participants' interests partially converge and partially diverge, leading to complex decision-making dynamics.

Promotive

Activities or behaviors that support or encourage progress, improvement, or positive development.

Anomic

A state or condition of society characterized by a breakdown of social norms and values leading to social disorganization.