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The nurse should document hearing S1 and S2 with no adventitious tones (option b) when assessing the heart tones of a 77-year-old with chronic heart failure. The nurse should be alerted that a client with non-Hodgkin lymphoma developing tumor lysis syndrome if they have hyperkalemia and hyperuricemia (option c). The nurse should immediately contact the healthcare provider if a client with acute pericarditis has ST-segment elevation in almost all ECG leads (option d).

Author

Yohan Nikolai De Guzman

Language

EN