When assessing a patient with mitral regurgitation, the nurse would expect which of the following heart sounds to occur?
A) Diastolic murmur
B) Systolic murmur
C) Systolic click
D) Ventricular dysrhythmias
Ans: B
Feedback: A systolic murmur is heard as a high-pitched, blowing sound at the apex in patients with mitral regurgitation. Ventricular dysrhythmia and a systolic click may be noted in a patient with mitral valve prolapse.
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A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which of the following scenarios would cause an emergency department nurse to suspect that the woman has been battered?
a. The woman and her partner are having an argument that is loud and hostile. b. The woman has injuries on various parts of her body that are in different stages of healing. c. Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain. d. She avoids making eye contact and is hesitant to answer questions.
A nurse is administering medication to a client with a triple-lumen central venous catheter. Which of the following actions should the nurse perform to maintain patency of an unused lumen?
A) Flush it with normal saline and/or heparin B) Keep the lumen clamped at all times C) Swab the port with an alcohol sponge D) Pinch the tubing above the access port
The nurse is assessing vital signs for a client after surgical procedure on the left leg and has intravenous (IV) fluids running. It would be most important for the nurse to:
1) Compare the left pedal pulse with the right pedal pulse. 2) Count the client's respiratory rate for 1 full minute. 3) Take the blood pressure in the arm without an IV. 4) Take an oral temperature with an electronic thermometer.
Which of the following causes microvascular damage in nerves throughout the body and in the nephrons of the kidneys??
A) Gestational diabetes B) Insulin resistance C) Hyperhidrosis D) Glycation