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A Nurse Is Assessing a Client Who Had a Myocardial

Question 24

Multiple Choice

A nurse is assessing a client who had a myocardial infarction.Upon auscultating heart sounds,the nurse hears the following sound.What action by the nurse is most appropriate?
(Click the media button to hear the audio clip.)


A) Assess for further chest pain.
B) Call the Rapid Response Team.
C) Have the client sit upright.
D) Listen to the client's lung sounds.

Correct Answer:

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