A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.

(You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is {"xRanges":[141.765625,171.765625],"yRanges":[127.609375,157.609375]}

A.   To best hear the closing of the aortic heart valve, the nurse should place the diaphragm of the stethoscope at the second intercostal space, right sternal border. This is also known as the aortic area.
B.   This is the tricuspid region, and defects with the tricuspid valve will be best heard in this area.
C.   This is the mitral region and murmurs due to defects in the mitral valve will be appreciated here

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Correct Answer is D

Explanation

A. Portable suction may be needed for some infants but is not specifically indicated for tetralogy of Fallot.

B. A cervical collar is used for neck support in patients with suspected cervical spine injuries and is not indicated for tetralogy of Fallot.

C. A hemodialyzer is used for renal replacement therapy and is not indicated for tetralogy of Fallot.

D. A pulse oximeter is essential for monitoring oxygen saturation levels in infants with tetralogy of Fallot, as they may experience cyanosis and hypoxemia. Monitoring oxygen saturation helps guide interventions and management.

A. Rupture the amniotic sac. B. Medicate the client for pain. C. Prepare the client for a cesarean section. D. Perform a vaginal exam.

Correct Answer is C

Explanation

A. Rupturing the amniotic sac in the case of complete placenta previa can lead to significant bleeding and is contraindicated.

B. Pain medication may be administered if needed, but the priority is to address the placenta previa and potential complications.

C. Complete placenta previa at 36 weeks gestation with contractions and bleeding is a clear

indication for an emergency cesarean section to prevent maternal hemorrhage and fetal distress.

D. Performing a vaginal exam can increase the risk of bleeding and should be avoided in cases of placenta previa.

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A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates the need for which of the following equipment?

Correct Answer is D

Explanation

A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 minutes in frequency and 1 minute in duration. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)

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A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.

(You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)