The Charge Nurse Is Presenting Recently Licensed Nurses with Information

Multiple Choice

The charge nurse is presenting recently licensed nurses with information about the importance of accurately assessing and documenting clients' heart sounds.Which information does the charge nurse determine to include in the presentation? Select all that apply.

A) To listen to and compare the intervals between the heartbeats
B) To compare the radial and apical pulses simultaneously
C) To document "distinct" if both heart tones are clearly heard
D) To listen to the apical pulse for a full 30 seconds
E) To document the rate for the apical pulse