You i are iteaching i a igroup i of i nursing i students i about
iadventitious i heart i sounds. i You i explain i that
iauscultation i of i the i heart i requires i familiarization i with
inormal iand iabnormal iheart isounds. iWhat iwould iyou
itell i these i students i a i ventricular i gallop i indicates i in i an
iadult?
a) Pericarditis
b) Hypertensive i heart i disease
c) Heart ifailure
d) Normal ifunctioning
iHeart i failure
Correct
iExplanation:
A i sound i that i follows i S1 i and i S2 i is i called i an i S3 i heart
isound i or ia iventricular igallop. i An iS3, i normal iin ichildren,
ioften i is i an i indication i of i heart ifailure i in i an i adult. i An
iextra i sound i before i S1 i is i an i S4 i heart i sound, i or i atrial
igallop. i An i S4 i sound i often i is i associated i with
ihypertensive i heart i disease. i A i friction i rub i may i cause i a
irough, i grating, i or i scratchy i sound i that i is i an i indication
iof i pericarditis i or i inflammation i of i the i pericardium.
The i client i states, i "My i doctor i says i that i because i I i am
inow i taking i this i water i pill, i I i need i to i eat i more i foods
ithat i contain i potassium. i Can i you i give i me i some i ideas
iabout i what i foods i would i be igood ifor ithis?" i The i nurse's
,appropriate iresponse i is iwhich i of ithe ifollowing?
a) Asparagus, i blueberries, i green i beans
b) Bok ichoy, icooked ileeks, ialfalfa isprouts
c) Apricots, i dried i peas i and i beans, i dates
d) Cranberries, i apples, i popcorn
iApricots, i dried i peas i and i beans,
i datesiExplanation:
Apricots, idried i peas iand i beans, idates, iand ikiwi icontain
ihigh i amounts i of i potassium. i The i other ifoods i listed
icontain i minimal i amounts.
The i area i of ithe i heart ithat i is i located i at i the ithird i IC
ispace i to i the i left i of i the i sternum i is i the
a) pulmonic iarea.
b) Erb's ipoint.
c) aortic i area.
d) epigastric
i area.iErb's i point.
iExplanation:
Erb's i point i is i located i at ithe ithird i intercostals i space ito
ithe i left i of i the i sternum. i The i aortic i area i is i located i at i the
isecond i intercostals i space i to i the i right i of i the i sternum.
The i pulmonic i area i is i at ithe i second i intercostal i space ito
ithe i left i of i the i sternum. i The i epigastric i area i is i located
ibelow i the i xiphoid i process.
An i89-year-old iclient ilives iin ia ilong-term icare ifacility
iwhere i you i practice i nursing. i The i client i has i a
ihypertensive i history i and i has i fallen i several i times i in
ithe i past i two i weeks. i As i his i nurse, i why i is i it i important
ifor i you i to i encourage i the i client i to i rise i slowly i from i a
isitting i or i lying i position?
a) Gradual ichanges iin iposition iprovide itime ifor ithe
iheart i to i reduce i its i rate i of i contraction i to i resupply
ioxygen i to i the i brain.
b) Gradual i changes i in i position i help i reduce i the i heart's
iwork i to i resupply i oxygen i to i the i brain.
c) Gradual ichanges iin iposition ihelp ireduce ithe iblood
ipressure i to i resupply i oxygen i to i the i brain.
d) Gradual ichanges iin iposition iprovide itime ifor ithe
iheart i to i increase i rate i of i contraction i to i resupply
, i oxygen ito i the i brain.
iadventitious i heart i sounds. i You i explain i that
iauscultation i of i the i heart i requires i familiarization i with
inormal iand iabnormal iheart isounds. iWhat iwould iyou
itell i these i students i a i ventricular i gallop i indicates i in i an
iadult?
a) Pericarditis
b) Hypertensive i heart i disease
c) Heart ifailure
d) Normal ifunctioning
iHeart i failure
Correct
iExplanation:
A i sound i that i follows i S1 i and i S2 i is i called i an i S3 i heart
isound i or ia iventricular igallop. i An iS3, i normal iin ichildren,
ioften i is i an i indication i of i heart ifailure i in i an i adult. i An
iextra i sound i before i S1 i is i an i S4 i heart i sound, i or i atrial
igallop. i An i S4 i sound i often i is i associated i with
ihypertensive i heart i disease. i A i friction i rub i may i cause i a
irough, i grating, i or i scratchy i sound i that i is i an i indication
iof i pericarditis i or i inflammation i of i the i pericardium.
The i client i states, i "My i doctor i says i that i because i I i am
inow i taking i this i water i pill, i I i need i to i eat i more i foods
ithat i contain i potassium. i Can i you i give i me i some i ideas
iabout i what i foods i would i be igood ifor ithis?" i The i nurse's
,appropriate iresponse i is iwhich i of ithe ifollowing?
a) Asparagus, i blueberries, i green i beans
b) Bok ichoy, icooked ileeks, ialfalfa isprouts
c) Apricots, i dried i peas i and i beans, i dates
d) Cranberries, i apples, i popcorn
iApricots, i dried i peas i and i beans,
i datesiExplanation:
Apricots, idried i peas iand i beans, idates, iand ikiwi icontain
ihigh i amounts i of i potassium. i The i other ifoods i listed
icontain i minimal i amounts.
The i area i of ithe i heart ithat i is i located i at i the ithird i IC
ispace i to i the i left i of i the i sternum i is i the
a) pulmonic iarea.
b) Erb's ipoint.
c) aortic i area.
d) epigastric
i area.iErb's i point.
iExplanation:
Erb's i point i is i located i at ithe ithird i intercostals i space ito
ithe i left i of i the i sternum. i The i aortic i area i is i located i at i the
isecond i intercostals i space i to i the i right i of i the i sternum.
The i pulmonic i area i is i at ithe i second i intercostal i space ito
ithe i left i of i the i sternum. i The i epigastric i area i is i located
ibelow i the i xiphoid i process.
An i89-year-old iclient ilives iin ia ilong-term icare ifacility
iwhere i you i practice i nursing. i The i client i has i a
ihypertensive i history i and i has i fallen i several i times i in
ithe i past i two i weeks. i As i his i nurse, i why i is i it i important
ifor i you i to i encourage i the i client i to i rise i slowly i from i a
isitting i or i lying i position?
a) Gradual ichanges iin iposition iprovide itime ifor ithe
iheart i to i reduce i its i rate i of i contraction i to i resupply
ioxygen i to i the i brain.
b) Gradual i changes i in i position i help i reduce i the i heart's
iwork i to i resupply i oxygen i to i the i brain.
c) Gradual ichanges iin iposition ihelp ireduce ithe iblood
ipressure i to i resupply i oxygen i to i the i brain.
d) Gradual ichanges iin iposition iprovide itime ifor ithe
iheart i to i increase i rate i of i contraction i to i resupply
, i oxygen ito i the i brain.
