While auscultating a patient's heart sounds, the nurse hears an extra heart sound immediately after the second heart sound (S2). An audible S3 would be considered an expected finding in what patient?
A) An older adult
B) A 20-year-old patient
C) A patient who has undergone valve replacement
D) A patient who takes a beta-adrenergic blocker
Ans: B
Feedback:
S3 represents a normal finding in children and adults up to 35 or 40 years of age. In these cases, it is called a physiologic S3. It is an abnormal finding in a patient with an artificial valve, an older adult, or a patient who takes a beta blocker.
You might also like to view...
The nurse in the emergency department explains to a client who is the victim of domestic violence
that the client's psychosocial history, statements about the battering, a body map detailing injuries, and the photos taken will be placed in the medical record. The nurse also asks the client to return in 2 days for additional photos. The victim begs the nurse not to save the information for fear the perpetrator will find out. The information the nurse can give to the client that will be of greatest relevance in helping her accept the plan includes the facts that the medical record (more than one option may be correct) A. is not available to the perpetrator or his legal counsel. B. will be valuable to the client if she takes legal action later. C. makes pertinent information available to other care providers. D. will provide evidence to law enforcement if another incident occurs. E. can be a resource to providers of treatment to the perpetrator or the victim.
A client, who is a nursing student, reports increased anxiety with test taking. Which behavioral technique is most appropriate for this client to put into practice?
A) Write "I can do this" on an index card and place in view. B) Use breathing techniques to reduce anxiety. C) Use meditation prior to exams. D) Participate in a study group and prepare well before exams.
The nurse is teaching a client about different medications for asthma. Which medication does the nurse teach the client to administer to control the prolonged inflammatory response?
a. Diphenhydramine (Benadryl) b. Montelukast (Singulair) c. Aspirin d. Bitolterol (Tornalate)
For the client who is receiving parenteral nutrition via a central venous catheter, the nurse recog-nizes that a priority is to:
1. Use sterile technique during the administration of the feedings 2. Maintain the initial infusion rate at no more than 40 to 60 mL/hr 3. Complete the administration of the feeding within 12 hours 4. Have radiographic confirmation of the placement of the catheter