In assessing for an S4 heart sound with a stethoscope, the nurse would listen with the:
a. Bell of the stethoscope at the base with the patient leaning forward.
b. Bell of the stethoscope at the apex with the patient in the left lateral position.
c. Diaphragm of the stethoscope in the aortic area with the patient sitting.
d. Diaphragm of the stethoscope in the pulmonic area with the patient supine.
ANS: B
The S4 is a ventricular filling sound that occurs when the atria contract late in diastole and is heard immediately before the S1. The S4 is a very soft sound with a very low pitch. The nurse needs a good bell and must listen for this sound. An S4 is heard best at the apex, with the person in the left lateral position.
You might also like to view...
A nurse is unsure in which graduate nursing program to enroll. A colleague recommends the nurse consider a degree program for which it appears there will be growing demand. Which role is expected to continue to be in great demand in the future?
1. Nurse administrators 2. Community health nurse 3. Nursing education 4. School nurse
The broad category of purposive sampling involves general goals. What is one of the broad general goals?
A) Find examples that are representative or typical of a specific group on some dimension of interest. B) Sampling to set up the possibility of comparisons or replications across similar types of cases on a dimension of interest. C) Find examples that are representative or typical of a broader group on some dimension of interest. D) Sampling to set up the possibility of comparisons or replications across random cases on a dimension of interest.
You are the nurse caring for a newborn infant who has a cleft lip and cleft palate and shows signs of mental retardation. Which of the following actions on your part would best support the parents?
a. Model love and acceptance of the infant, and convey how precious the infant is. b. Answer all questions, and give additional information with absolute honesty no matter how difficult it may be for the parents to accept. c. Immediately give the parents the number of the support group for parents with children who are mentally retarded. d. Call the chaplain, and ask the chaplain to talk with the parents.
Asians may perceive illness as disharmony with other forces and that medicine is only able to relieve the symptoms rather than cure the disease. They may look to naturalistic solutions and acupuncture to resolve or cure health problems
This is an example of cultural variations of: 1. Communication 2. Space 3. Social organization 4. Environmental control