The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

bell of the stethoscope on top of the patient's gown.

diaphragm of the stethoscope directly on the patient's skin.

diaphragm of the stethoscope on top of the patient's gown.

bell of the stethoscope directly on the patient's skin.

Answer and Explanation

The Correct Answer is B

A.   The bell is used to detect low-pitched sounds, but abnormal heart sounds are often high-pitched, requiring the diaphragm.
B.   The diaphragm of the stethoscope is best for detecting high-pitched heart sounds, such as murmurs or abnormal rhythms.
C.   The diaphragm on top of the gown would create interference and prevent proper auscultation of heart sounds.
D.   The bell is used for lower-pitched sounds and is not the best choice for auscultating abnormal heart sounds.

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Correct Answer is A

Explanation

A. Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B. Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C. Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D. Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

A. After palpating the abdomen B. Prior to percussing the abdomen C. After checking for kidney tenderness D. Prior to inspecting the abdomen

Correct Answer is B

Explanation

A. Palpation may alter bowel sounds, making auscultation after palpation less accurate.
B. Auscultation should be performed before percussion or palpation to prevent interference with the sounds.
C. Checking for kidney tenderness is important but does not affect the timing of auscultating bowel sounds.
D. Inspection should be done before auscultation to assess for any obvious abnormalities before listening for bowel sounds.

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The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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