The nurse auscultates the apex beat at which of the following anatomical locations? a) Fifth intercostal space, midclavicular line The left ventricle is responsible for the apex beat or the point of maximum impulse, which is normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space. b) Mid-sternum The right ventricle lies anteriorly, just beneath the sternum. c) 2” to the left of the lower end of the sternum Use of inches to identify the location of the apex beat is inappropriate based upon variations in human anatomy. d) 1” to the left of the xiphoid process Auscultation below and to the left of the xiphoid process will detect gastrointestinal sounds, but not the apex beat of the heart.

Question

The nurse auscultates the apex beat at which of the following anatomical locations? a) Fifth intercostal space, midclavicular line The left ventricle is responsible for the apex beat or the point of maximum impulse, which is normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space. b) Mid-sternum The right ventricle lies anteriorly, just beneath the sternum. c) 2” to the left of the lower end of the sternum Use of inches to identify the location of the apex beat is inappropriate based upon variations in human anatomy. d) 1” to the left of the xiphoid process Auscultation below and to the left of the xiphoid process will detect gastrointestinal sounds, but not the apex beat of the heart.

The nurse auscultates the apex beat at which of the following
anatomical locations?
a) Fifth intercostal space, midclavicular line
The left ventricle is responsible for the apex beat or the point of
maximum impulse, which is normally palpable in the left midclavicular
line of the chest wall at the fifth intercostal space.
b) Mid-sternum
The right ventricle lies anteriorly, just beneath the sternum.
c) 2” to the left of the lower end of the sternum
Use of inches to identify the location of the apex beat is inappropriate
based upon variations in human anatomy.
d) 1” to the left of the xiphoid process
Auscultation below and to the left of the xiphoid process will detect
gastrointestinal sounds, but not the apex beat of the heart.

asked Oct 3, 2021 by anonymous

1 Answer

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Description : When the nurse auscultates chest sounds that are harsh and cracking, sounding like two pieces of leather being rubbed together, she records her finding as a) pleural friction rub. A ... wheezes are continuous, musical, high-pitched, whistle-like sounds heard during inspiration and expiration.

Last Answer : a) pleural friction rub. A pleural friction rub is heard secondary to inflammation and loss of lubricating pleural fluid.

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Description : When measuring the blood pressure in each of the patient's arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in ... . The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

Last Answer : a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures.

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Last Answer : a) normal. Normal bowel sounds are heard every 5-20 seconds.

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Description : When the nurse observes an ECG tracing on a cardiac monitor with a pattern in lead II and observes a bizarre, abnormal shape to the QRS complex, the nurse has likely ... Ventricular fibrillation is a rapid but disorganized ventricular rhythm that causes ineffective quivering of the ventricles.

Last Answer : a) Ventricular bigeminy Ventricular bigeminy is a rhythm in which every other complex is a PVC.

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Last Answer : a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

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Last Answer : a) Barrel chest “Barrel chest” results from fixation of the ribs in the inspiratory position.

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Last Answer : a) pigeon chest. Pigeon chest may occur with rickets, Marfan’s syndrome, or severe kyphoscoliosis.

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Last Answer : Answer: AC DISCUSSION: The finding of distended neck veins in conjunction with hypotension should suggest tension pneumothorax or pericardial tamponade. Absent ipsilateral breath sounds and a trachea ... injuries. There is no role for aortic cross-clamping in this scenario of cardiogenic shock

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Description : Which of the following methods of physical examination refers to the translation of physical force into sound? a) Percussion Percussion translates the application of physical force into sound. b) Palpation ... Manipulation refers to the use of the hands to determine motion of a body part.

Last Answer : a) Percussion Percussion translates the application of physical force into sound.

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Description : Which of the following terms indicates the amount of blood pumped out of the ventricle with each contraction of the heart? a) Stroke volume Stroke volume is the amount of blood pumped out ( ... d) Preload Preload is the pressure created by a volume of blood within a ventricle before contraction.

Last Answer : a) Stroke volume Stroke volume is the amount of blood pumped out (ejected) with each contraction of the heart (heart beat). Stroke volume times heart rate equals cardiac output.

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Last Answer : a) On the right side In this position, the liver capsule at the site of penetration is compressed against the chest wall, and the escape of blood or bile through the perforation made for the biopsy is impeded.

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Last Answer : a) Right atrium The pressure in the right atrium is used to assess right ventricular function and venous blood return to the heart.

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Description : When the nurse observes that the patient's heart rate increases during inspiration and decreases during expiration, the nurse reports that the patient is demonstrating a) sinus dysrhythmia. Sinus dysrhythmia ... occurs when the sinus node regularly creates an impulse at a faster-than-normal rate.

Last Answer : a) sinus dysrhythmia. Sinus dysrhythmia occurs when the sinus node creates an impulse at an irregular rhythm.

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Description : Which of the following terms describes the amount of blood ejected per heartbeat? a) Stroke volume Stroke volume is determined by preload, afterload, and contractility. b) Cardiac output Cardiac output ... must overcome to eject blood during systole and is one of the determinants of stroke volume.

Last Answer : a) Stroke volume Stroke volume is determined by preload, afterload, and contractility.

Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

When the nurse observes that the patient’s systolic blood pressure is less than 80–90 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and urine output is less than 30 cc per hour, the nurse recognizes that the patient is demonstrating which stage of shock? a) Compensatory In compensatory shock, the patient’s blood pressure is normal, respirations are above 20, and heart rate is above 100 but below 150. b) Progressive In progressive shock, the patient’s skin appears mottled and mentation demonstrates lethargy. c) Refractory In refractory or irreversible shock, the patient requires complete mechanical and pharmacologic support. d) Irreversible In refractory or irreversible shock, the patient requires complete mechanical and pharmacologic support.

Description : When the nurse observes that the patient's systolic blood pressure is less than 80-90 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and ... d) Irreversible In refractory or irreversible shock, the patient requires complete mechanical and pharmacologic support.

Last Answer : a) Compensatory In compensatory shock, the patient’s blood pressure is normal, respirations are above 20, and heart rate is above 100 but below 150.

65. While the nurse was checking the BP of the client, the wife was intently observing the nurse. The wife asks the nurse how to ensure accurate measurement of BP reading. Identify all the nurse mentioned that will ensure accurate BP reading. 1. Taking the BP 15 minutes after intake of antihypertensive drug 2. Measuring the BP after the client has been seated for 5 minutes 3. Seating the client with arm bared supported and at the heart level 4. Using the cuff with rubber bladder that encircles at least 80% of the arm 5. Gauges of BP apparatus should be calibrated every 8 hours 6. The client should rest quietly for 5 minutes before reading and can talk while BP is being checked

Description : 65. While the nurse was checking the BP of the client, the wife was intently observing the nurse. The wife asks the nurse how to ensure accurate measurement of BP reading. Identify all the ... The client should rest quietly for 5 minutes before reading and can talk while BP is being checked

Last Answer : A. 1, 2, 3, and 4

Which of the following regarding the anatomy of the heart is true? A. The aortic valve is tricuspid. B. The ascending aorta is entirely outside the pericardial sac. C. The left atrial appendage is identified readily by transthoracic echocardiography. D. The pulmonary trunk lies anterior to the ascending aorta. E. The right atrium is posterior to the left atrium.

Description : Which of the following regarding the anatomy of the heart is true? A. The aortic valve is tricuspid. B. The ascending aorta is entirely outside the pericardial sac. C. The left atrial appendage is ... trunk lies anterior to the ascending aorta. E. The right atrium is posterior to the left atrium.

Last Answer : Ans: A

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Description : If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located ... is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

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Description : To confirm the diagnosis of cholecystitis, the attending physician ordered a procedure that can detect gallstones as small as 1 - 2 cm and inflammation. The nurse would prepare ... specific diagnostic procedure? A. Cholangiography B. Ultrasonography C. Gall bladder series D. Oral cholecystogram

Last Answer : B. Ultrasonography

Which of the following observations regarding ulcer formation on the patient’s lower extremity indicate to the nurse that the ulcer is a result of venous insufficiency? a) The border of the ulcer is irregular. The border of an ulcer caused by arterial insufficiency is circular. b) The ulcer is very painful to the patient, even though superficial. Superficial venous insufficiency ulcers cause minimal pain. c) The ulcer base is pale to black. The base of a venous insufficiency ulcer shows beefy red to yellow fibrinous color. d) The ulcer is deep, involving the joint space. Venous insufficiency ulcers are usually superficial.

Description : Which of the following observations regarding ulcer formation on the patient's lower extremity indicate to the nurse that the ulcer is a result of venous insufficiency? a) The border of the ... d) The ulcer is deep, involving the joint space. Venous insufficiency ulcers are usually superficial.

Last Answer : a) The border of the ulcer is irregular. The border of an ulcer caused by arterial insufficiency is circular.

When the nurse administers intravenous gamma-globulin infusion, she recognizes that which of the following complaints, if reported by the patient, may indicate an adverse effect of the infusion? a) Tightness in the chest Flank pain, tightness in the chest, or hypotension indicates adverse effects of gamma-globulin infusion.

Description : When the nurse administers intravenous gamma-globulin infusion, she recognizes that which of the following complaints, if reported by the patient, may indicate an adverse effect of the infusion? a) ... urination is a sign of urinary tract infection, not an adverse effect of gamma-globulin infusion.

Last Answer : a) Tightness in the chest Flank pain, tightness in the chest, or hypotension indicates adverse effects of gamma-globulin infusion.

When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to occur, the nurse recognizes that the patient is describing a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

Description : When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the ... or refractory angina produces severe, incapacitating chest pain that does not respond to conventional treatment.

Last Answer : a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

51. Albert came to the hospital with chest pain and fever. After a thorough assessment by the doctor, he was admitted for pericarditis management. The nurse positions the client to reduce pain and discomfort. Describe this position.

Description : 51. Albert came to the hospital with chest pain and fever. After a thorough assessment by the doctor, he was admitted for pericarditis management. The nurse positions the client to reduce pain and discomfort. Describe this position.

Last Answer : C. Sit the client upright and lean forward

Why the left ventricle has the strongest wall in human heart?

Description : Why the left ventricle has the strongest wall in human heart?

Last Answer : Left ventricle contracts more forcefully than the right one, as it has to push the blood to all around the body, while right one has to push to blood just to lungs.

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Description : When no atrial impulse is conducted through the AV node into the ventricles, the patient is said to be experiencing which type of AV block? a) Third degree In third degree heart block, two impulses ... , type II, only some of the atrial impulses are conducted through the AV node into the ventricles.

Last Answer : a) Third degree In third degree heart block, two impulses stimulate the heart—one stimulates the ventricles and one stimulates the atria.

When irrigating a colostomy, the nurse lubricates the catheter and gently inserts it into the stoma no more than _______ inches a) 3” The nurse should insert the catheter no more than 3 inches. b) 2” Insertion of the catheter 2 inches is inadequate. c) 4” Insertion of the catheter 4 inches is excessive and not recommended. d) 5” Insertion of the catheter 5 inches is excessive and not recommended.

Description : When irrigating a colostomy, the nurse lubricates the catheter and gently inserts it into the stoma no more than _______ inches a) 3 The nurse should insert the catheter no more than 3 inches. b ... and not recommended. d) 5 Insertion of the catheter 5 inches is excessive and not recommended.

Last Answer : a) 3” The nurse should insert the catheter no more than 3 inches.

When the patient who has undergone laryngectomy suffers wound breakdown, the nurse monitors him very carefully because he is identified as being at high risk for a) carotid artery hemorrhage. The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly. b) pulmonary embolism. Pulmonary embolism is associated with immobility. c) dehydration. Dehydration may lead to poor wound healing and breakdown. d) pneumonia. Pneumonia is a risk for any postoperative patient.

Description : When the patient who has undergone laryngectomy suffers wound breakdown, the nurse monitors him very carefully because he is identified as being at high risk for a) carotid artery hemorrhage. The ... poor wound healing and breakdown. d) pneumonia. Pneumonia is a risk for any postoperative patient.

Last Answer : a) carotid artery hemorrhage. The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly.

Nurse Fely did her admission. She understands that the pain is characterized as A. Tenderness that is generalized in the upper epigastric area B. Pain in the left upper quadrant radiating to the left shoulder C. Tenderness and rigidity at the left epigastric area radiating to the back D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

Description : Nurse Fely did her admission. She understands that the pain is characterized as A. Tenderness that is generalized in the upper epigastric area B. Pain in the left upper quadrant radiating to the ... to the back D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

Last Answer : D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

Which term is used to describe the ability of the heart to initiate an electrical impulse? a) Automaticity Automaticity is the ability of specialized electrical cells of the cardiac conduction system to initiate an electrical impulse. b) Contractility Contractility refers to the ability of the specialized electrical cells of the cardiac conduction system to contract in response to an electrical impulse. c) Conductivity Conductivity refers to the ability of the specialized electrical cells of the cardiac conduction system to transmit an electrical impulse from one cell to another. d) Excitability Excitability refers to the ability of the specialized electrical cells of the cardiac conduction system to respond to an electrical impulse.

Description : Which term is used to describe the ability of the heart to initiate an electrical impulse? a) Automaticity Automaticity is the ability of specialized electrical cells of the cardiac conduction ... the specialized electrical cells of the cardiac conduction system to respond to an electrical impulse.

Last Answer : a) Automaticity Automaticity is the ability of specialized electrical cells of the cardiac conduction system to initiate an electrical impulse.

yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur 2-4 degree most side is lower lf sternum not radiating to other site increase when he lying down and there is non specific s and t changing and there is lf atrium enlargement Aortic stenosis p.s hypertrophic cardiomyopathy constrictive cardiomyopathy

Description : yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur ... t changing and there is lf atrium enlargement Aortic stenosis p.s hypertrophic cardiomyopathy constrictive cardiomyopathy

Last Answer : Aortic stenosis

In lung diseases like pneumonia, it usually affects certain site based on the anatomy, this is more obvious in which of the following: • Right upper lobe • Right middle lobe • Right lower lobe • Left upper lobe • Left lower lobe

Description : In lung diseases like pneumonia, it usually affects certain site based on the anatomy, this is more obvious in which of the following: • Right upper lobe • Right middle lobe • Right lower lobe • Left upper lobe • Left lower lobe

Last Answer : Right middle lobe

What structures transmit the heart impulse from the av node to the ventricle?

Description : What structures transmit the heart impulse from the av node to the ventricle?

Last Answer : Bundle of Hisatrioventicular bundle (bundle of his), right and left bundle bramches and the purkinge conducition fibers

The route of circulation in the human heart (a) Left auricle - right auricle - right ventricle - pulmonary artery - lungs - pulmonary veins - Left ventricle - aorta (b) Right auricle - left auricle - right ventricle - pulmonary artery - lungs - pulmonary veins -left ventricle - aorta (c) Right auricle - right ventricle - pulmonary veins - lungs - pulmonary artery - left auricle -left ventricle - aorta (d) Right auricle - right ventricle - pulmonary artery - lungs - pulmonary veins - left auricle - left ventricle - aorta

Description : The route of circulation in the human heart (a) Left auricle - right auricle - right ventricle - pulmonary artery - lungs - pulmonary veins - Left ventricle - aorta (b) Right auricle - left ... - right ventricle - pulmonary artery - lungs - pulmonary veins - left auricle - left ventricle - aorta

Last Answer : Ans:(b)

Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient’s fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed. b) Minimal urine output of 50 milliliters per hour Minimal urine output may be less than 50 mL/hr. c) Minimal urine output of 10 milliliters per hour Minimal urine output must exceed 10 mL/hr. d) Minimal intake of 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Description : Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient's fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are ... 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Last Answer : a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed.

70. The senior nurse observes that Marina occasionally does not follow agreed upon interventions. The senior nurse reports that Marina should improve in which of the following?

Description : 70. The senior nurse observes that Marina occasionally does not follow agreed upon interventions. The senior nurse reports that Marina should improve in which of the following?

Last Answer : C. Compliance to standards

Which skill needed by the nurse to think critically involves identification of patient problems indicated by data? a) Analysis Analysis is used to identify patient problems indicated by data. b) Interpretation Interpretation is used to determine the significance of data that is gathered. c) Inferencing Inferences are used by the nurse to draw conclusions. d) Explanation Explanation is the justification of actions or interventions used to address patient problems and to help a patient move toward desired outcomes.

Description : Which skill needed by the nurse to think critically involves identification of patient problems indicated by data? a) Analysis Analysis is used to identify patient problems indicated by data. b) ... or interventions used to address patient problems and to help a patient move toward desired outcomes.

Last Answer : a) Analysis Analysis is used to identify patient problems indicated by data.

40. The nurse should ensure that all components of medications are documented. Identify all these components. 1. Dosage, route and frequency 2. Name of client and medication 3. Date and time the medication was ordered 4. Dosage, route, frequency and strength 5. Physician’s signature and specialty 6. Physician’s signature and PRC license number

Description : 40. The nurse should ensure that all components of medications are documented. Identify all these components. 1. Dosage, route and frequency 2. Name of client and medication 3. Date and time ... and strength 5. Physician's signature and specialty 6. Physician's signature and PRC license number

Last Answer : C. All except 5 and 6

In general, chest drainage tubes are not used for the patient undergoing a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty hemithorax prevents mediastinal shift. b) Lobectomy With lobectomy, two chest tubes are usually inserted for drainage, the upper for air and the lower for fluid c) Wedge resection With wedge resection, the pleural cavity usually is drained because of the possibility of an air or blood leak d) Segmentectomy With segmentectomy, drains are usually used because of the possibility of an air or blood leak.

Description : In general, chest drainage tubes are not used for the patient undergoing a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty ... With segmentectomy, drains are usually used because of the possibility of an air or blood leak.

Last Answer : a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty hemithorax prevents mediastinal shift.

Systemic heart refers to (a) the heart that contracts under stimulation from nervous system (b) left auricle and left ventricle in higher vertebrates (c) entire heart in lower vertebrates (d) the two ventricles together in humans.

Description : Systemic heart refers to (a) the heart that contracts under stimulation from nervous system (b) left auricle and left ventricle in higher vertebrates (c) entire heart in lower vertebrates (d) the two ventricles together in humans.

Last Answer : (b) left auricle and left ventricle in higher vertebrates

In the heart: a. excitation begins in the sinoatrial node b. excitation of the ventricle begins at the apex and spread to the base c. depolarization occurs from epicardium to endocardium d. all above

Description : In the heart: a. excitation begins in the sinoatrial node b. excitation of the ventricle begins at the apex and spread to the base c. depolarization occurs from epicardium to endocardium d. all above

Last Answer : all above

When the nurse notes that the patient’s left great toe deviates laterally, she recognizes that the patient has a a) hallux valgus. Hallux valgus is commonly referred to as a bunion. b) hammertoe. Hammertoes are usually pulled upward. c) pes cavus. Pes cavus refers to a foot with an abnormally high arch and a fixed equinus deformity of the forefoot. d) flatfoot. In flatfoot, the patient demonstrates a diminished longitudinal arch of the foot.

Description : When the nurse notes that the patient's left great toe deviates laterally, she recognizes that the patient has a a) hallux valgus. Hallux valgus is commonly referred to as a bunion. b) ... the forefoot. d) flatfoot. In flatfoot, the patient demonstrates a diminished longitudinal arch of the foot.

Last Answer : a) hallux valgus. Hallux valgus is commonly referred to as a bunion.

In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the patient’s residual urine must be less than which of the following amounts on two separate occasions (morning and evening)? a) 100 cc If the patient complains of discomfort or pain, however, the suprapubic catheter is usually left in place until the patient can void successfully.

Description : In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the patient's residual urine must be less than which of the following amounts on two separate occasions ... urine that is greater than 100 cc indicates that the suprapubic catheter cannot be discontinued.

Last Answer : a) 100 cc If the patient complains of discomfort or pain, however, the suprapubic catheter is usually left in place until the patient can void successfully.

The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, “I will A. Call you when the return flow is clear” B. Stop the enema only if the return flow is without formed fecal material” C. Need 1 liter of tap water to have clear return flow” D. Put the client in left Sim’s position to achieve the desired return flow.”

Description : The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, I will A. Call you when the return flow is ... flow D. Put the client in left Sim's position to achieve the desired return flow.

Last Answer : A. Call you when the return flow is clear”

The nurse teaches the patient with peripheral vascular disease to refrain from smoking because nicotine causes a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities. b) slowed heart rate. Nicotine has stimulant effects. c) depression of the cough reflex. Nicotine does not suppress cough. Smoking irritates the bronchial tree, causing coughing. d) diuresis. Nicotine does not cause diuresis.

Description : The nurse teaches the patient with peripheral vascular disease to refrain from smoking because nicotine causes a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the ... the bronchial tree, causing coughing. d) diuresis. Nicotine does not cause diuresis.

Last Answer : a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities.

The nurse anticipates that the immunosuppressed patient is at greatest risk for which type of shock? a) Septic Septic shock is associated with immunosuppression, extremes of age, malnourishment, chronic illness, and invasive procedures. b) Neurogenic Neurogenic shock is associated with spinal cord injury and anesthesia. c) Cardiogenic Cardiogenic shock is associated with disease of the heart. d) Anaphylactic Anaphylactic shock is associated with hypersensitivity reactions.

Description : The nurse anticipates that the immunosuppressed patient is at greatest risk for which type of shock? a) Septic Septic shock is associated with immunosuppression, extremes of age, ... disease of the heart. d) Anaphylactic Anaphylactic shock is associated with hypersensitivity reactions.

Last Answer : a) Septic Septic shock is associated with immunosuppression, extremes of age, malnourishment, chronic illness, and invasive procedures.

Medium -length nasoenteric tubes are used for: a) Feeding Placement of the tube must be verified prior to any feeding. b) Decompression A gastric sump and nasoenteric tube are used for gastrointestinal decompression. c) Aspiration Nasoenteric tubes are used for gastrointestinal aspiration. d) Emptying Gastric sump tubes are used to decompress the stomach and keep it empty.

Description : Medium -length nasoenteric tubes are used for: a) Feeding Placement of the tube must be verified prior to any feeding. b) Decompression A gastric sump and nasoenteric tube are used for ... aspiration. d) Emptying Gastric sump tubes are used to decompress the stomach and keep it empty.

Last Answer : a) Feeding Placement of the tube must be verified prior to any feeding.

The most common symptom of esophageal disease is a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on swallowing. b) nausea. Nausea is the most common symptom of gastrointestinal problems in general. c) vomiting. Vomiting is a nonspecific symptom that may have a variety of causes. d) odynophagia. Odynophagia refers specifically to acute pain on swallowing.

Description : The most common symptom of esophageal disease is a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on ... have a variety of causes. d) odynophagia. Odynophagia refers specifically to acute pain on swallowing.

Last Answer : a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on swallowing.

31. Based on the initial manifestation on admission, the nurse is looking for positive manifestations of appendicitis which includes the following except

Description : 31. Based on the initial manifestation on admission, the nurse is looking for positive manifestations of appendicitis which includes the following except

Last Answer : C. Thrombocytopenia

anonymous · Answer 1 · 2021-10-03T10:30:29+0000

a) Fifth intercostal space, midclavicular line
The left ventricle is responsible for the apex beat or the point of
maximum impulse, which is normally palpable in the left midclavicular
line of the chest wall at the fifth intercostal space.

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