A nurse learns from a report that a patient has aortic stenosis. Where does the nurse place the stethoscope to hear this stenotic valve?
a. Second intercostal space, right sternal border
b. Second intercostal space, left sternal border
c. Fourth intercostal space, left sternal border
d. Fifth intercostal space, left midclavicular line
ANS: A
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A teen is brought to the emergency room by a parent. The assessment reveals that the client has been acting strangely for the past three hours and is hypervigilant, grandiose, and irritable
Vital signs indicate hypertension, tachycardia, and some arrhythmias. The teen may have ingested: 1. Alcohol. 2. Crack. 3. Cocaine. 4. Amphetamines.
Which of the statements would indicate that a patient who has received an organ transplant understands the teaching about his or her immunosuppressive medications?
a. "My drug dosages will be lower because the medications enhance each other." b. "I will be less prone to side effects because I will be taking more than one drug." c. "Lower doses of these medications put me at greater risk for infection." d. "Taking more than one medication will put me at risk for developing allergies."
The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have been met?
a. Patient states he can live without sex. b. Patient says that impotence is temporary. c. Patient states his needs are being met. d. Patient asks about medication for ED.
A 45-year-old woman is scheduled for an abdominal hysterectomy. She is a nonsmoker and has been taking opioid medications for pain control. She has a history of asthma and hypertension and is 20 pounds overweight
Which assessment data would the nurse evaluate as indicating increased risk for postoperative nausea and vomiting? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. She is middle-aged. 2. The scheduled surgery is gynecologic. 3. The patient has been taking opioid medications. 4. The patient is overweight. 5. The patient is female.