a nurse is preparing to conduct a cardiovascular assessment on a client.
which of the following actions should the nurse plan to take? - Correct
ANS: auscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the
apical pulse is auscultated - Correct ANS: D, under the left nipple
a nurse is completing a medical history on a client. which of the
following findings indicates the client has a family history of
cardiovascular disease? - Correct ANS: sibling who has HTN
a nurse is auscultating a client's heart sounds. Place the nursing actions
for auscultation of the heart in the correct order. - Correct ANS:
1.elevate the head of the bed 30 degrees and instruct the client to
breath normally 2. visualize the anatomy of the heart 3. place the
stethoscope to the right sternal border at the 2nd intercostal space 4.
, place the stethoscope close to the sternal border at the 4th intercostal
space 5. auscultate the apical pulse for 1 minute
a nurse is preparing to perform a cardiovascular assessment on a client.
The client asks "why do you need to use a penlight" which of the
following responses should the nurse make? - Correct ANS: the penlight
will allow me to look at the pulses in your neck
a nurse is auscultating heart sounds in a group of clients. Which of the
following should the nurse identify as an expected variation? - Correct
ANS: an adolescent who has an s3 heart sound
a nurse is teaching a client about behaviors that promote cardiovascular
health. Which of the following client statements indicate an
understanding of the teaching? - Correct ANS: > I am going to start
walking several times a week
> I plan to join a support group to help me stop smoking
> I will be sure to have my BP checked at least every year
which of the following actions should the nurse plan to take? - Correct
ANS: auscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the
apical pulse is auscultated - Correct ANS: D, under the left nipple
a nurse is completing a medical history on a client. which of the
following findings indicates the client has a family history of
cardiovascular disease? - Correct ANS: sibling who has HTN
a nurse is auscultating a client's heart sounds. Place the nursing actions
for auscultation of the heart in the correct order. - Correct ANS:
1.elevate the head of the bed 30 degrees and instruct the client to
breath normally 2. visualize the anatomy of the heart 3. place the
stethoscope to the right sternal border at the 2nd intercostal space 4.
, place the stethoscope close to the sternal border at the 4th intercostal
space 5. auscultate the apical pulse for 1 minute
a nurse is preparing to perform a cardiovascular assessment on a client.
The client asks "why do you need to use a penlight" which of the
following responses should the nurse make? - Correct ANS: the penlight
will allow me to look at the pulses in your neck
a nurse is auscultating heart sounds in a group of clients. Which of the
following should the nurse identify as an expected variation? - Correct
ANS: an adolescent who has an s3 heart sound
a nurse is teaching a client about behaviors that promote cardiovascular
health. Which of the following client statements indicate an
understanding of the teaching? - Correct ANS: > I am going to start
walking several times a week
> I plan to join a support group to help me stop smoking
> I will be sure to have my BP checked at least every year
