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.

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