The nurse hears a loud murmur when listening to the patient's heart. Which diagnostic test will best display the condition of the valves and structures within the patient's heart that could be causing the murmur?

a. Chest x-ray
b. Cardiac catheterization
c. Echocardiogram
d. Electrocardiogram


ANS: C
Echocardiograms allow for ultrasound visualization of the structures of the heart along with function of the heart valves and cardiac musculature.

Nursing

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Upon checking the solution against the orders, the nurse is aware that it is safest to administer a dextrose concentration no greater than 10% because dextrose concentrations greater than 10%: A) Cause a chemical phlebitis B) Are poorly absorbed by the body C) Are incompatible with lipid solutions D) Limit the length of therapy to 2 weeks

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The nurse is reviewing the medical record of a client prescribed mebendazole for the treatment of pinworm. Which patient would the nurse plan to monitor most closely?

1. Age under 12 years 2. Age of 35 years with cirrhosis 3. Age of 42 with lupus 4. Age of 17 with a femoral fracture

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The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

A) The child does not babble. B) The child does not vocally respond to voices. C) The child never squeals or yells. D) The child does not say dada or mama.

Nursing

A 40-year-old man who has been separated from his father since early childhood tells the nurse that his father recently contacted him to inform him that he is dying of Huntington disease. What is an essential component of care for this patient?

A) Assist the patient in determining signs of neuromuscular weakness B) Instruct the man on treatment options for Huntington disease C) Teach the man how to avoid passing Huntington disease to his own children D) Provide genetic counseling, evaluation, and testing for the disease

Nursing