Apatienthasanewlydiagnosedheartmurmur.Duringthenursessubsequenthealtheducation,heasks ifhuecanlistentoit.Whatwouldbethenursesbestresponse?

Correct Answer: A

Rationale: The correct answer is A because listening to body sounds using a stethoscope is called auscultation, not palpation. Using a diaphragm is essential for hearing heart murmurs clearly. It requires a trained ear to distinguish the sounds accurately. Choice B is incorrect because palpation involves feeling with hands, not listening with a stethoscope. Choice C is incorrect because not all heart murmurs are pathologic and require surgery. It is important to provide accurate information to the patient. Choice D is incorrect because it does not mention the correct term "auscultation" and lacks the essential information about using a stethoscope with a diaphragm.

Correct Answer: A

Rationale: The correct answer is A because it addresses the patient's concern about privacy and confidentiality. By stating that the information is maintained in a secure place and only accessible to healthcare professionals directly involved in the patient's care, it reassures the patient that their information is protected. Choice B is incorrect because it limits access based on current employment status, which may not necessarily ensure the confidentiality of the information. Choice C is incorrect because allowing anyone with permission from the patient to access the information may not always guarantee confidentiality. Choice D is incorrect because it includes representatives of the insurance company, which could compromise the patient's privacy.

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the importance of cultural and religious practices in dietary guidelines. By addressing cultural considerations, healthcare providers can provide more personalized and respectful care. Choice A is incorrect as it does not directly address the patient's concerns and may come off as dismissive. Choice B is incorrect as it focuses solely on foreign-born patients, neglecting the broader cultural diversity of patients. Choice C is incomplete and irrelevant. In summary, choice D is the best response as it demonstrates cultural competence and respect for the patient's beliefs and practices.

Correct Answer: C

Rationale: The primary rationale for the nurse's line of questioning about the patient's first- and second-order relatives is to identify potential sources of social support. This is crucial for understanding the patient's support system and planning appropriate care interventions. Other choices are incorrect because: A (living relatives quantity) is not as relevant for care planning, B (family health literacy) may be important but not the primary focus of this assessment, and D (genetic diseases) is not the primary purpose of this line of questioning in an admission assessment.

Correct Answer: C

Rationale: The correct answer is C because during the inspection phase of the assessment, the nurse should pay attention to details while observing the patient's physical appearance, behavior, and overall condition. This helps the nurse gather important data for further assessment and plan of care. Option A is incorrect as psychosocial details are usually gathered during the interview phase. Option B is incomplete. Option D is incorrect as writing down details during observation may distract the nurse from accurately assessing the patient.