A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?

"A heart murmur is a high-pitched sound due to a narrow valve."

"A heart murmur is an extra sound your heart makes due to blood entering an inflexible chamber."

"This means that there is some inflammation around your heart."

"This indicates turbulent (chaotic, random fluctuations) blood flow through a valve."

Answer and Explanation

The Correct Answer is D

A. "A heart murmur is a high-pitched sound due to a narrow valve." While some murmurs may be caused by a narrow valve (stenosis), not all murmurs are high-pitched. Murmurs vary in pitch depending on the cause, so this is not a comprehensive explanation.

B. "A heart murmur is an extra sound your heart makes due to blood entering an inflexible chamber." This describes an S3 or S4 sound rather than a murmur. A heart murmur is typically related to turbulent blood flow through valves, not just an inflexible heart chamber.

C. "This means that there is some inflammation around your heart." This statement incorrectly links a murmur to pericarditis or myocarditis, which involve inflammation. A murmur is associated with abnormal blood flow, not inflammation.

D. "This indicates turbulent (chaotic, random fluctuations) blood flow through a valve." A heart murmur is caused by turbulent blood flow, which can occur when blood moves through a valve that is narrow or has regurgitation. This is the correct explanation.

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Free Nursing Study Resources

Correct Answer is "{\"xRanges\":[82.828125,112.828125],\"yRanges\":[158,188]}"

Explanation

The sandbag should be placed over the left femoral artery insertion site where the catheter was inserted. This helps apply pressure to the site, reducing the risk of bleeding or hematoma formation by assisting with clot formation at the puncture site.

A. Reassuring the partner of a client who sustained a closed head injury B. Collecting data from a client who reports unilateral calf pain when ambulating C. Taking a telephone prescription for a client who is to be transferred from PACU D. Reinforcing a client's dressing on an above-the-knee amputation surgical site

Correct Answer is B

Explanation

A. Reassuring the partner of a client who sustained a closed head injury: While providing emotional support to family members is important, this is not the first priority. The immediate concern should be a potential physical complication in a client.

B. Collecting data from a client who reports unilateral calf pain when ambulating: Unilateral calf pain can indicate deep vein thrombosis (DVT), which can lead to a pulmonary embolism if left untreated. This is the most urgent situation and requires immediate assessment.

C. Taking a telephone prescription for a client who is to be transferred from PACU: While transferring a client requires coordination, it is not as urgent as assessing for potential life-threatening complications, such as DVT.

D. Reinforcing a client's dressing on an above-the-knee amputation surgical site: While it is important to manage the surgical site, the client with potential DVT requires more immediate attention due to the risk of pulmonary embolism.

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A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[82.828125,112.828125],\"yRanges\":[158,188]}"

Explanation

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Correct Answer is B

Explanation

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