ATI Health Assess 3.0: Cardiovascular, HEALTH
ASSESSMENT-HEART QUESTIONS
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Terms in this set (47)
A 58-year-old teacher Correct response: Orthopnea
presents with Explanation:
breathlessness with Orthopnea, which is dyspnea that occurs when lying
activity. The client has no down and improves when sitting up, is part of the
chronic conditions and cardiovascular review of systems and, if positive, may
does not take any indicate congestive heart failure. (less)
medications, herbs, or Reference:
supplements. Which of the Weber, J., & Kelley, J. H. (2014). Health Assessment in
following symptoms is Nursing, 5th ed. Philadelphia: Wolters Kluwer
appropriate to ask about Health/Lippincott Williams & Wilkins, Chapter 21:
in the cardiovascular Assessing Heart and Neck Vessels, p. 425.
review of systems?
a) Tenesmus
b) Abdominal pain
c) Orthopnea
d) Hematochezia
,The area known as Erb's Correct response: 3rd left rib space
point is the third site for Explanation:
auscultation on the The 3rd left rib space is the third site for auscultation
precordium. Where is it (Erb's point). The other options are distracters. (less)
located? Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in
a) 3rd right rib space Nursing, 5th ed. Philadelphia: Wolters Kluwer
b) 4th left rib space Health/Lippincott Williams & Wilkins, Chapter 21:
c) 3rd left rib space Assessing Heart and Neck Vessels, p. 423.
d) 4th right rib space
Correct response: Orthopnea
A client complains of Explanation:
difficulty sleeping, stating A client with heart failure may have fluid in their lungs,
he has to sit up with the making it difficult to breathe when lying flat
help of several pillows and (orthopnea). An increased respiratory rate is
cannot breathe when tachypnea. Sleep apnea is a condition where the
lying flat. This client has a client has periods of not breathing while sleeping.
condition known as what? Pneumonia does not present as described in the
question. (less)
a) Tachypnea Reference:
b) Orthopnea Weber, J., & Kelley, J. H. (2014). Health Assessment in
c) Pneumonia Nursing, 5th ed. Philadelphia: Wolters Kluwer
d) Sleep apnea Health/Lippincott Williams & Wilkins, Chapter 21:
Assessing Heart and Neck Vessels, p. 425.
, The client has been Correct response: Tachycardia; hypotension
diagnosis with severe Explanation:
sepsis. Which finding A low cardiac output would be exhibited by
would indicate the client is tachycardia and hypotension.
experiencing low cardiac Reference:
output? Weber, J., and Kelley, J. Health Assessment in Nursing,
5th ed., Philadelphia: Wolters Kluwer Health, 2014,
a) Bradycardia; Chapter 21: Assessing Heart and Neck Vessel, pg. 422.
hypertension
b) Tachycardia;
hypotension
c) Bradycardia;
hypotension
d) Tachycardia;
hypertension
ASSESSMENT-HEART QUESTIONS
Save
Terms in this set (47)
A 58-year-old teacher Correct response: Orthopnea
presents with Explanation:
breathlessness with Orthopnea, which is dyspnea that occurs when lying
activity. The client has no down and improves when sitting up, is part of the
chronic conditions and cardiovascular review of systems and, if positive, may
does not take any indicate congestive heart failure. (less)
medications, herbs, or Reference:
supplements. Which of the Weber, J., & Kelley, J. H. (2014). Health Assessment in
following symptoms is Nursing, 5th ed. Philadelphia: Wolters Kluwer
appropriate to ask about Health/Lippincott Williams & Wilkins, Chapter 21:
in the cardiovascular Assessing Heart and Neck Vessels, p. 425.
review of systems?
a) Tenesmus
b) Abdominal pain
c) Orthopnea
d) Hematochezia
,The area known as Erb's Correct response: 3rd left rib space
point is the third site for Explanation:
auscultation on the The 3rd left rib space is the third site for auscultation
precordium. Where is it (Erb's point). The other options are distracters. (less)
located? Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in
a) 3rd right rib space Nursing, 5th ed. Philadelphia: Wolters Kluwer
b) 4th left rib space Health/Lippincott Williams & Wilkins, Chapter 21:
c) 3rd left rib space Assessing Heart and Neck Vessels, p. 423.
d) 4th right rib space
Correct response: Orthopnea
A client complains of Explanation:
difficulty sleeping, stating A client with heart failure may have fluid in their lungs,
he has to sit up with the making it difficult to breathe when lying flat
help of several pillows and (orthopnea). An increased respiratory rate is
cannot breathe when tachypnea. Sleep apnea is a condition where the
lying flat. This client has a client has periods of not breathing while sleeping.
condition known as what? Pneumonia does not present as described in the
question. (less)
a) Tachypnea Reference:
b) Orthopnea Weber, J., & Kelley, J. H. (2014). Health Assessment in
c) Pneumonia Nursing, 5th ed. Philadelphia: Wolters Kluwer
d) Sleep apnea Health/Lippincott Williams & Wilkins, Chapter 21:
Assessing Heart and Neck Vessels, p. 425.
, The client has been Correct response: Tachycardia; hypotension
diagnosis with severe Explanation:
sepsis. Which finding A low cardiac output would be exhibited by
would indicate the client is tachycardia and hypotension.
experiencing low cardiac Reference:
output? Weber, J., and Kelley, J. Health Assessment in Nursing,
5th ed., Philadelphia: Wolters Kluwer Health, 2014,
a) Bradycardia; Chapter 21: Assessing Heart and Neck Vessel, pg. 422.
hypertension
b) Tachycardia;
hypotension
c) Bradycardia;
hypotension
d) Tachycardia;
hypertension
