Question

During a cardiac Sessment of a client experto pulsations 4cm above stemal angle with bad of bed bpm, bilateral ankle cdema, dvelty breathing when seconds. These findings most likely suggest whicho a. Fluid and electrolyte imbalance Heart failure c. Atrial-septal defect d. Peripheral vascular disease cing chest pain, a nurse finds the following bed 45 degrees, blood pressure 98/60 mm bien supine, an Sy heart sound and capillary to ach of the following conditions? de 14. While performing a cardiovascular assessment, a nurse findings? a. A continuous vibration felt over the second and b. A high-pitched, scraping sound here in the third interco A brief, rhythmic pulsation near the filth intercostal space d. A whooshing or swishing sound heard over the second nurse should consider which of the following as the of the second and third intercostal space 15. This is the correct order for auscultation of heart sounds a. Mitral, Tricuspid, Apical, Pulmonic b. Apical, Pulmonic, Tricuspid, Mitral c. Apical, Tricuspid, Pulmonic, Mitral d. Mitral, Apical, Pulmonio, Tricuspid intercostal space at the left sternal boarder stal space at the left midclavicular line the second intercostal nace at the left sternal bonde space 16. A heart murmur should be assessed for which of the following? Select all that apply a. Location b. Timing c. Radiation d. Intensity e. Pitch 17. A nurse is performing a cardiac assessment and auscultates an S4 heart sound. The nurse shoul that this mostly likely indicates: a. Mitral valve stenosis b. Left sided heart failure Ischemic heart disease d. Pulmonic valve insufficiency . When the sinoatrial node is working appropriately the heart is in Sinus rate. This is expected a. 40-50 bpm b. 60-80 bpm © 60-100 bpm d. 100-120 bpm extremities, a curses When performing a peripheral vascular assessment of the lower extremiti ngertips just posterior to the medial malleolus in order to asse alses? in order to assess for which of the followinien

Answer 1

13. Answer:(b) heart failure.

Reason:

I Heart failure only Bilateral ankle edema, difficulty is breathing when scepire, S3 heart sounds are occurred only is heart felekeze other option are incorrect

14. Answer:(c) a brief,rhtymic pulsation near the fifth intercoastal space ,lateral to midclavicular line.

Reason:

- Heark sound of first, we heard at the 5th Intercostal space lateral to the mid clavicular line, so that by Hearing Heark sound, know the abnormality of thark sounds M2

15. Answer: (b)apical,pulmonic, tricuspid and mitral.

Reason:

two normal heart sounds, and so ® listen over each of the four main Heart Values, aortic &Apical, pulmonary tricuspid and madras Valve areas. you can also hear additional sounds such as clicks and heart murmurs,

16. Answer: location,timing, radiation,intensity and pitch .

Reason:

o location of the Heark munmur & timing of The Hecat murmur * Radiction and Intensity of murmur & Pitch of The murmur * all are checked for the heart murmur.