You examine an 82yo woman who has a hx of HF. She is in the office b/c of increasing SOB. When auscultating her heart, you note tachycardia with a rate of 104bpm and an extra heart sound in early diastole. This sound most likely represents:
a. summation gallop
b. S3
c. opening snap
d. S4
Ans: b. S3
You might also like to view...
The nurse assesses that her patient's intravenous solution has infiltrated into the tissues. What action should1) Aspirate, then inject 0.5 mL normal saline. 2) Restart the IV line in a different vein. 3) Stop the infusion immediately. 4) she take first?
1) Aspirate, then inject 0.5 mL normal saline. 2) Restart the IV line in a different vein. 3) Stop the infusion immediately. 4) Notify the primary care provider.
The nurse is caring for a drowning victim after resuscitation. What focused assessment will the nurse perform to identify complications from drowning?
a. Palpation of abdominal cavity b. Inspection of skin color c. Auscultation of lungs d. Palpation of pulse strength
A patient has an open surgical wound on the abdomen that contains deep pink granulation tissue. How would the nurse document this wound?
a. Red wound b. Yellow wound c. Full-thickness wound d. Stage III pressure ulcer
The nurse learns that a client has a hearing aid that is attached to prescribed eye glasses. What will the nurse most likely assess in this client?
1. Figure 13-15 B 2. Figure 33-18 A 3. Figure 33-16 4. Figure 33-17