On auscultation, a nurse detects a heart murmur. What should the nurse know that a heart murmur indicates?
a. Valves that do not close correctly
b. Pericardium that is inflamed
c. Decrease in pacemaker cells
d. Loud ventricular gallop
A
Heart murmurs indicate turbulent blood flow and can be caused by valves that are stiff and do not shut correctly; consequently, blood flows back into the chamber.
You might also like to view...
A nurse is caring for a client who has a pressure ulcer on the right ankle. Which action should the nurse take first?
a. Draw blood for albumin, prealbumin, and total protein. b. Prepare for and assist with obtaining a wound culture. c. Place the client in bed and instruct the client to elevate the foot. d. Assess the right leg for pulses, skin color, and temperature.
The research question "Does maternal stress during the first trimester of a pregnancy affect the infant's birth weight?" is:
A) Acceptable as a research question as stated B) Unacceptable as a research question as stated C) Not researchable D) Not of clinical significance
As an indication that the safety needs of a client scheduled for an angiography are being addressed, the nurse would ask
a. "Are you allergic to any seafood?" b. "Have you gained or lost weight in the last 2 months?" c. "What is your age and marital status?" d. "When was the date of your last tetanus booster?"
The nurse administering medications to a patient realizes that a medication error has been made on the previous shift. The nurse's first action should be to
1. Notify the prescriber immediately and give him or her the name of the nurse who made the error. 2. Call the nurse who made the error and ask that nurse to fill out an incident report as soon as possible. 3. Report the error according to facility policy and complete an incident report. 4. Say nothing because the error has already occurred and cannot be changed.