[Verified Answer]: of 6 The nurse is preparing to complete…

Question 1 of 6 The nurse is preparing to complete the beginning of shift assessment. For each nursing assessment action, please indicate whether the action is indicated, not needed, or incorrect. Select one option in each row. IndicatedNot NeededIncorrectUse a blood pressure cuff that covers the circumference of the arm 80%-100%. Auscultate for S1 sounds at the 4th to 5th intercostal space at the right midclavicular line. Notify the health care provider for a respiratory rate greater than 60 breaths per minute. Assess client for peripheral edema. Notify the health care provider if a murmur is heard during auscultation. Anticipate that this client will have bounding pulses in the upper extremities and decreased pulses in the lower extremities. Document pulse strength and capillary refill time for all four extremities. Auscultate breath sounds and heart sounds first before moving on to palpation and percussion.