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

Question 26

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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