The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?
S4 heart sound
Harsh holosystolic murmur at the apex
S3 heart sound
Carotid bruits
The Correct Answer is C
A. S4 heart sound: An S4 heart sound is often associated with hypertensive heart disease or left ventricular hypertrophy, rather than congestive heart failure alone.
B. Harsh holosystolic murmur at the apex: This type of murmur is more indicative of mitral regurgitation rather than congestive heart failure.
C. S3 heart sound: An S3 heart sound is commonly associated with congestive heart failure, especially when there is volume overload and decreased left ventricular function.
D. Carotid bruits: Carotid bruits are associated with vascular issues rather than congestive heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Fever: While fever might be a symptom of infection, it is not specific to inner ear infections.
B. Headache: This can be a symptom associated with inner ear infections, but vertigo is a more specific concern.
C. Vertigo: Inner ear infections often cause vertigo (dizziness or spinning sensations), so interventions for managing vertigo are crucial.
D. Rhinorrhea: This symptom is more commonly associated with upper respiratory infections rather than inner ear infections.
Correct Answer is B
Explanation
A. Secondary Prevention: This level focuses on early detection and treatment of diseases, such as screenings or exams, rather than promoting healthy behaviors.
B. Primary Prevention: This level involves strategies to prevent disease before it occurs, including promoting healthy lifestyles through exercise and nutrition.
C. Tertiary Prevention: This level aims to manage and improve quality of life for individuals with existing diseases to prevent complications, rather than preventing disease onset.
D. Educational Prevention: This term is not a standard classification in prevention levels; it refers to educational efforts but does not specifically align with the established levels of prevention.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.