A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? Select all that apply.

Use a low sodium seasoning to flavor food.

Increase consumption of dairy products.

Choose foods like bananas and sweet potatoes.

Walk briskly 30 minutes per day.

Consume two to three glasses of red wine daily.

Answer and Explanation

Correct Answer : A,C,D

A. Using low sodium seasoning can help reduce sodium intake, which is beneficial for hypertension management.

B. Increasing dairy products may not necessarily help with hypertension unless they are low-fat or fat-free options, but it’s not a primary strategy.

C. Foods like bananas and sweet potatoes are high in potassium, which helps counteract sodium's effects and supports healthy blood pressure.

D. Brisk walking for 30 minutes per day is a recommended exercise to help manage and prevent hypertension.

E. Consuming red wine is not recommended for hypertension; excessive alcohol intake can increase blood pressure.

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Correct Answer is C

Explanation

A. Pulmonic and tricuspid: The tricuspid valve's closure is not primarily audible at the 2nd intercostal space right sternal border; it is better heard at the lower left sternal border.

B. Mitral and aortic: The mitral valve is best heard at the apex of the heart, not the 2nd intercostal space right sternal border.

C. Aortic and pulmonic: The 2nd intercostal space right sternal border is the area where the aortic and pulmonic valves are auscultated. The louder S2 here indicates the closure of these valves, with the aortic valve being the primary source of sound in this area.

D. Tricuspid and mitral: These valves are best heard at other locations, with the tricuspid valve near the lower left sternal border and the mitral valve at the apex.

A. S3 B. S1 C. S2 D. S4

Correct Answer is B

Explanation

A. S3: This sound is associated with early diastole, often related to heart failure or volume overload.

B. S1: The first heart sound (S1) marks the beginning of systole and corresponds to the closure of the mitral and tricuspid valves.

C. S2: The second heart sound (S2) indicates the end of systole and the beginning of diastole, associated with the closure of the aortic and pulmonic valves.

D. S4: This sound is associated with late diastole, often related to decreased ventricular compliance.

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A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? Select all that apply.

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Naxlex Comprehensive Predictor Exams

When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

Correct Answer is C

Explanation

During the cardiac cycle heart sounds correlate with events of the cycle. Which is being associated with systole?

Correct Answer is B

Explanation

The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?

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The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

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