The nurse is caring for a patient admitted with a grade III heart murmur heard at midsystole. The nurse recognizes that which cardiac conditions could cause this assessment finding?
Select all that apply.
1. aortic stenosis
2. cardiomyopathy
3. atrioventricular (AV) valve disease
4. mitral valve prolapse (MVP)
5. ventricular septal defect
Correct Answer: 1, 2
Midsystolic murmurs are associated with semilunar valve diseases, such as aortic stenosis, and with hypertrophic cardiomyopathies. Pansystolic (holosystolic) murmurs are heard with AV valve disease and ventricular septal defect. A late systolic murmur is heard with MVP.
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A nurse is preparing to administer an octreocide depot injection. Which information about this procedure does the nurse provide the parent?
A. "Octreocide stimulates growth hormone." B. "The medication goes deep into a muscle." C. "This shot lasts longer than a regular shot." D. "Your child will need these shots weekly."
A student nurse is working with a preceptor to administer an enema to the patient. Which action by the student prompts intervention and redirection by the preceptor?
a. Water-soluble lubricant is applied to the end of the enema tubing. b. The enema tubing is primed with solution that has been warmed. c. The patient is positioned comfortably in the right side-lying Sims position. d. The patient's bedpan is put at the bedside in preparation for use.
Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?
a. Every 2 months b. Every 4 months c. Every 6 months d. Every 8 months
The nurse is performing an otoscopic examination on a child. Which are normal findings the nurse should expect? (Select all that apply.)
a. Ashen gray areas b. A well-defined light reflex c. A small, round, concave spot near the center of the drum d. The tympanic membrane is a nontransparent grayish color e. A whitish line extending from the umbo upward to the margin of the membrane