An expected outcome for a client after cardiac assessment is:
A. Apical pulse rate is 58 beats per minute
B. Carotid bruits present
C. PMI palpable at left fifth intercostal space at midclavicular line
D. Jugular veins distended with client in sitting position
C
C. Locate the PMI by palpating with fingertips along fifth intercostal space in midclavicular line.
A. Sinus bradycardia: Pulse rhythm is regular, but rate is slower than normal at 40 to 60 beats per minute
B. Place bell of stethoscope over each carotid artery, auscultating for blowing sound (bruit). Ask the client to hold a breath for a few heartbeats so that respiratory sounds will not interfere with auscultation. Narrowing of carotid artery's lumen by arteriosclerotic plaques causes disturbance in blood flow. Blood passing through narrowed section creates turbulence and emits blowing or swishing sound.
D. Normal veins are flat when client is sitting, and pulsations become evident as client's head is lowered.
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Diagnostic imaging reveals that the quantity of fluid in a client's pericardial sac is dangerously increased. The nurse should collaborate with the other members of the care team to prevent the development of what complication?
A) Pulmonary edema B) Pericardiocentesis C) Cardiac tamponade D) Pericarditis
An 18-year-old male patient broke his arm in a skateboarding accident. The arm was put in an arm cast. The patient states that he is unable to straighten his fingers
The nurse notes that the patient is experiencing Volkmann's contracture, which is due to what? A) Obstructed arterial blood flow to the forearm and hand B) Obstructed venous blood flow from the forearm and hand C) The cast being applied too loosely D) Muscle spasm of the forearm
The nurse states to the newly pregnant patient, "Tell me how you feel about being pregnant." Which communication technique is the nurse using with this patient?
a. Clarifying b. Paraphrasing c. Reflection d. Structuring
Evidence-based public health is:
a. An integration of the best available nursing expertise b. Derived from community principles to fit the area where it is practiced c. A health endeavor that makes informed use of evidence d. Comprised of only public health records