On auscultation, the nurse detects a heart murmur. The nurse knows that a heart murmur indicates:
1. the valves are not closing correctly.
2. the pericardium is inflamed.
3. there is a decrease in pacemaker cells.
4. a loud ventricular gallop.
1
Heart murmurs indicate turbulent blood flow and can be caused by valves that are stiff and do not shut correctly, so that blood is flowing back into the chamber.
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A female patient reports her menstrual cycle consistently occurs every 32 days. What day of her cycle can the woman anticipate ovulation?
a. 14 b. 16 c. 18 d. 20
A patient is undergoing diagnostic testing for suspected Paget's disease. What assessment finding is most consistent with this diagnosis?
A) Altered serum magnesium levels B) Altered serum calcium levels C) Altered serum potassium levels D) Altered serum sodium levels
A patient has been advised to use 5% permethrin (Elimite) cream for the eradication of scabies. How should the nurse advise that the cream be used?
a. Applied daily from head to toe for 7 to 10 days b. Massaged head to toe once and washed off in about 12 hours c. Applied once and rinsed off in about 10 minutes d. Shampooed into the hair and left in place for 48 hours
A middle-aged male patient weighing 220 pounds incurred burns to 40% of the total body surface area. Using the Parkland formula, calculate his fluid resuscitation needs for the first 24 hours
1. 3,520 mL 2. 35,200 mL 3. 1,600 mL 4. 16,000 mL