The nurse is performing a cardiac assessment on a newborn. Which findings would the nurse expect in a grade 4 murmur?
A) Murmur is barely audible.
B) Murmur is loud, but without a thrill.
C) Murmur is loud with a palpable thrill.
D) Murmur is audible without a stethoscope.
C) Murmur is loud with a palpable thrill.
Explanation: A) Murmurs are graded on a six-point scale to indicate intensity and pitch. A grade 1 murmur is barely audible, a grade 2 murmur is louder, and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill. A grade 5 murmur is associated with a thrill, and the murmur can be heard with the stethoscope partially off the chest. A grade 6 murmur is audible without a stethoscope.
B) Murmurs are graded on a six-point scale to indicate intensity and pitch. A grade 1 murmur is barely audible, a grade 2 murmur is louder, and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill. A grade 5 murmur is associated with a thrill, and the murmur can be heard with the stethoscope partially off the chest. A grade 6 murmur is audible without a stethoscope.
C) Murmurs are graded on a six-point scale to indicate intensity and pitch. A grade 1 murmur is barely audible, a grade 2 murmur is louder, and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill. A grade 5 murmur is associated with a thrill, and the murmur can be heard with the stethoscope partially off the chest. A grade 6 murmur is audible without a stethoscope.
D) Murmurs are graded on a six-point scale to indicate intensity and pitch. A grade 1 murmur is barely audible, a grade 2 murmur is louder, and a grade 3 murmur is loud but not accompanied by a thrill. A grade 4 murmur is loud and associated with a palpable thrill. A grade 5 murmur is associated with a thrill, and the murmur can be heard with the stethoscope partially off the chest. A grade 6 murmur is audible without a stethoscope.
You might also like to view...
In response to a patient's complaint of pain, the nurse administered 2 mg oxycodone PO to a patient 40 minutes ago. The physical therapist on the unit has liaised with the nurse and plans to ambulate the patient
How should the nurse follow-up the physical therapist's statement? A) Ask the physical therapist to wait for 1 hour before ambulating the patient B) Reevaluate the patient's pain C) Supervise while the therapist works with the patient D) Inform the physical therapist that the patient will be unlikely to ambulate
When reading a new client's birth plan, the nurse notices that the client will be bringing a doula to the hospital during labor. What does the nurse think that this means?
a. The client will have her grandmother as a support person. b. The client will bring a paid, trained labor support person with her during labor. c. The client will have a special video she will play during labor to assist with relaxation. d. The client will have a bag that contains all the approved equipment that may help with the labor process.
Which of these terms describes a client who is in shock resulting from vasodilation and abnormal fluid distribution within the circulatory system?
a. distributive c. hypovolemic b. cardiogenic d. obstructive
Which activity in the care of a 48-year-old female patient with a new colostomy could the nurse delegate to unlicensed assistive personnel (UAP)?
a. Document the appearance of the stoma. b. Place a pouching system over the ostomy. c. Drain and measure the output from the ostomy. d. Check the skin around the stoma for breakdown.