An 82-year-old patient is admitted into the critical care unit with a diagnosis of left-sided heart failure related to mitral stenosis
Physical assessment findings reveal tachycardia with an S3 and a 3/6 systolic murmur. The grading of a murmur as a 3/6 refers to which of the following characteristics of murmurs?
a. Intensity
b. Quality
c. Timing
d. Pitch
A
Intensity, or the "loudness," is graded on a scale of 1 to 6; the higher the number, the louder the murmur.
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After teaching a client who is recovering from a heart transplant to change positions slowly, the client asks, "Why is this important?" How should the nurse respond?
a. "Rapid position changes can create shear and friction forces, which can tear out your internal vascular sutures." b. "Your new vascular connections are more sensitive to position changes, leading to increased intravascular pressure and dizziness." c. "Your new heart is not connected to the nervous system and is unable to respond to decreases in blood pressure caused by position changes." d. "While your heart is recovering, blood flow is diverted away from the brain, increasing the risk for stroke when you stand up."
A client is admitted to the intensive care unit with a myocardial infarction. When taking a sleep history, you learn that the client's loud snoring often awakens the partner and that the client frequently experiences unrefreshing sleep
These findings suggest that the client has which of the following? 1. narcolepsy 2. obstructive sleep apnea 3. a normal sleep pattern 4. REM sleep
Which cultural group requires circumcision of the penis?
A) Hispanics B) Muslims C) Greeks D) Native Americans
A nurse is explaining to a client the physiology of the heart with reference to the cardiac valves. Which statement by the client about the function of the cardiac valves demonstrates the correct understanding of the nurse's explanation?
A) Contract with sufficient force to pump blood B) Act as receiving centers for blood C) Divide the heart into right and left sides D) Allow blood to flow in one direction only