Of the four types of stethoscopes, which one is most unsuitable to conduct a full cardiac examination?

Diaphragm on one side, bell on the opposite side

Diaphragm Only

Bell on one side, Diaphragm on the opposite side

Diaphragm and bell on same side

Answer and Explanation

The Correct Answer is B

A. Diaphragm on one side, bell on the opposite side: Suitable for a full cardiac examination, as it can assess both high and low-frequency sounds.

B. Diaphragm Only: Less suitable for a full cardiac examination because it may not effectively capture low-frequency sounds such as certain heart murmurs.

C. Bell on one side, Diaphragm on the opposite side: Effective for a full cardiac examination, as it can assess both high and low-frequency sounds.

D. Diaphragm and bell on same side: Allows for a complete assessment of heart sounds, though it may be less versatile than separate components on each side.

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Correct Answer is B

Explanation

A. Diverticulosis: Murphy's sign is not used to diagnose diverticulosis.

B. Acute Cholecystitis: Murphy's sign is a clinical test used to identify acute cholecystitis. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.

C. Appendicitis: Murphy's sign is not associated with appendicitis; instead, other signs such as McBurney’s point tenderness are used.

D. Nephrolithiasis: Murphy's sign is not indicative of nephrolithiasis; kidney stones are assessed through other signs and symptoms.

A. Fourth intercostal space, left sternal border B. Second intercostal space, left sternal border C. Fifth intercostal space, left midclavicular line D. Third intercostal space left axillary line

Correct Answer is C

Explanation

C. Fifth intercostal space, left midclavicular line: The apical impulse, or point of maximal impulse (PMI), is typically palpated at the fifth intercostal space, left midclavicular line, where the apex of the heart is closest to the chest wall.

A. Fourth intercostal space, left sternal border: This location is not typically used for palpating the apical impulse; it is more relevant for auscultating heart sounds.

B. Second intercostal space, left sternal border: This location is used for auscultating the aortic and pulmonic valves.

D. Third intercostal space left axillary line: This is not a standard location for palpating the apical impulse.

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Of the four types of stethoscopes, which one is most unsuitable to conduct a full cardiac examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A positive Murphy's sign is indicative of?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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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