You are auscultating heart tones as part of a sports physical examination. You hear a murmur at the right second intercostal space (aortic area). The murmur increases in intensity when this tee-nager goes from a sitting to standing position
The subsequent recommendation should be to: a. consult a cardiologist as soon as possible.
b. have a stress test before completion of the form.
c. participate in low-static, high-dynamic sports.
d. limit contact sports and have an echocar-diogram.
A
The murmur of aortic stenosis is indicative of hypertrophic cardiomyopathy, which may be the cause of sudden death in children and adolescents at rest or during exercise. Therefore, a cardi-ology consult should be requested as soon as possible.
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A home health nurse has completed a visit to a patient and has immediately begun to document the visit. Accurate documentation that is correctly formatted is necessary for which of the following reasons?
A) Accurate documentation guarantees that the nurse will not be legally liable for unexpected outcomes. B) Accurate documentation ensures that the agency is correctly reimbursed for the visit. C) Accurate documentation allows the patient to gauge his or her progress over time. D) Accurate documentation facilitates safe delegation of care to unlicensed caregivers.
After a spouse's death, a patient repeatedly says, "I should have recognized what was happening and been more helpful.". This individual is experiencing:
a. preoccupation with the image of the deceased. b. sensations of somatic distress. c. anger. d. guilt.
Cell membranes with very small passages, such as the placental and blood-brain barriers, affect which pharmacokinetic processes?
a. Absorption b. Distribution c. Metabolism d. Excretion
The Robert Wood Johnson Foundation offered a program, Pursuing Perfection: Raising the Bar for Healthcare Performance, between 2002 and 2007 . The goal of this project was to:
A. Standardize all medical care in the United States and Europe B. Pursue executives from for-profit organi-zations in health care to assist them with the maintaining the bottom line. C. Improve patient outcomes in Europe and the United States by pursuing perfection in all major care areas D. Collaborate with international companies to have sharing of ideas and hopefully lower costs