While taking a history, a nurse learns that a patient had rheumatic heart disease as a child. Based on this information, what abnormal data might this nurse expect to find during an examination?
a. An extra beat just before the S2 heart sound heard during auscultation
b. A raspy machine-like or blowing sound heard during auscultation
c. A prominent thrust of the heart against the chest wall felt on palpation
d. A visible indentation of pericardial tissue noted during inspection
ANS: B
You might also like to view...
An interdisciplinary team has been working collaboratively to improve the health outcomes of a young adult who suffered a spinal cord injury in a workplace accident
Which member of the rehabilitation team is the one who determines the final outcome of the process? A) Most-responsible nurse B) Patient C) Patient's family D) Primary care physician
The nurse observes that the patient has an abnormal respiratory pattern and has documented that the patient is demonstrating Cheyne-Stokes respirations. What respiratory pattern description is characteristic of a patient who has Cheyne-Stokes respirations?
A) Rapid shallow breaths B) Low respiratory rate with hiccups C) Alternating periods of deep breathing and periods of apnea D) Increased rate and depth in breaths
When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?
a. 1750-1760 b. 1826-1850 c. 1949-1950 d. 1965-1980
The nurse is preparing to weigh a client on a digital scale. Which intervention should the nurse implement to obtain an accurate weight?
A. Calibrate the scale. B. Ask the client to remove their shoes. C. Ensure the scale has a capacity to hold greater than 159 kg. D. Have the client stand on the scale facing backward.