The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?
A) Right ventricular heave
B) Holosystolic harsh murmur along the left sternal border
C) Fixed split-second heart sound
D) Systolic ejection murmur
Ans: B
With ventricular septal defects, there is often a characteristic holosystolic harsh murmur along the left sternal border. Right ventricular heave, fixed split-second heart sound, and systolic ejection murmur are typically found with atrial septal defects.
You might also like to view...
In a written strategic plan the _______ contains all the documentation related to the strategic planning process so that the reader obtains a sense of the background information used by the strategic planners in order to arrive at the strategic plan
Fill in the blank(s) with correct word
The nurse is caring for a client who is taking levothyroxine (Synthroid) and cholestyramine (Questran). Which reaction should the nurse monitor this client for when administering these medications?
1. Hypolipidemia 2. Hyperthyroid 3. Hyperlipidemia 4. Hypothyroid
For the past 3 months, the nurse has been exchanging new needles for used needles at a homeless shelter frequented by drug users. How might the nurse know whether his or her time and effort were effective?
a. More people came each night with used needles, asking to exchange them. b. The local health department reported a downward trend in newly diagnosed human immunodeficiency virus (HIV) infection. c. Persons who stayed at the shelter frequently expressed appreciation to the nurse. d. The staff of the homeless shelter stated that they had been serving fewer clients.
An elderly client has no family in the same community, lives alone in a small house, and is having greater difficulty with mobility due to advanced osteoarthritis
Cognitively, this client is alert, is able to manage her own business matters, and does her own cooking, but does not enjoy "cooking for one." The home health nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. The nurse should recommend that the client: 1. See a psychiatrist since the client appears depressed. 2. Check out joint replacement options for the osteoarthritis. 3. Start thinking about long-term care. 4. Consider moving to an assisted living facility.