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Exam (elaborations)

Cardiac Assessment NCLEX Prep Questions and Answers Already Passed

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Cardiac Assessment NCLEX Prep Questions and Answers Already Passed The Nurse is assessing a client who has a low-pitches murmur. What is the most appropriate way for the nurse to position the client to auscultate this murmur On the left lateral side using the bell of the stethoscope. During a cardiovascular assessment the nurse finds a bluish tinge on the clients lips, fingers, and toes. what is the appropriate documentation for this finding? Central and peripheral cyanosis When evaluating a client's circulation the nurse should include which assessments? Select all that apply. Palpation of pulses, Skin temperature of bilateral extremities, Skin color, Hair on the legs and feet During a cardiovascular assessment the nurse notes that the client has a heart rhythm with a pause after each beat and a skip every third beat. What is the appropriate interpretation of this findings? Regularly Irregular When obtaining a cardiovascular health history the nurse should ask the client which questions? Select all that apply. "Are you able to perform your ADL's?", "Have you had any weight changes?", Have you been treated for cardiovascular disease?", Do you know your cholesterol and triglyceride levels? When performing a dietary history on a client with a cardiovascular history, the nurse should obtain information related to which items? Sodium intake In preparing to perform a cardiovascular assessment, the nurse should initially place the client in which position? Sitting upright The nurse performing a cardiovascular assessment observes splinter hemorrhages. The nurse should evaluate this client for which of the following? Endocarditis When palpating the carotid arteries it is essential that the nurse do which of the following? Avoid palpating the carotids simultaneously. Before assessing the client's carotid arteries for pulsations, the nurse would raise the client's head of bed to how many degrees elevation for proper position? 45 degrees The client has a history of aortic stenosis and an S3 murmur. What action would the nurse take to auscultate this murmur? Use the bell of the stethoscope.

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Cardiac Assessment NCLEX Prep
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Cardiac Assessment NCLEX Prep

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Uploaded on
February 23, 2024
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