You find a bounding carotid pulse on a 62-year-old patient. Which murmur should you search out?
A) Mitral valve prolapse
B) Pulmonic stenosis
C) Tricuspid insufficiency
D) Aortic insufficiency
D) Aortic insufficiency
Bounding carotid pulses would be found in aortic insufficiency. This should be sought by listening over the third left intercostal space, with the patient leaning forward in held exhalation. This is a very soft diastolic murmur usually. A bounding pulse may also be seen in any condition which increases cardiac output, including stimulant use, anxiety, hyperthyroidism, fever, etc.
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The nurse acting as a circulating nurse has a responsibility for:
a. observing for breaks in sterile technique. b. identifying and handling surgical specimens correctly. c. assisting with surgical draping of the patient. d. maintaining count of sponges, needles, and instruments during surgery.
It is important for the nurse to be aware that ____% of individuals over 45 years old take prescription, over-the-counter, or a combination of these medications
a. 35 b. 55 c. 75 d. 95
During a pain assessment, the patient tells the nurse that the pain is aching, stabbing, and throbbing. The nurse recognizes this pain to be:
a. visceral. b. neuropathic. c. somatic. d. psychogenic.
A client has just been diagnosed with terminal brain cancer and given approximately two months to live. He wishes to visit his mother soon to "say goodbye." The nurse acknowledges this reaction as which of the following?
A) Anticipatory B) Bereavement C) Mourning D) Loss