A client is undergoing diagnostic testing for aortic stenosis.
What statement by the client during the nurse's interview is most suggestive of this valvular disorder?

"Sometimes when I'm resting, I can feel my heart skip a beat.”.

"Whenever I do any form of exercise, I get very short of breath.”.

"My feet and ankles have gotten very puffy the last few weeks.”.

"I get chest pain from time to time, but it usually resolves with rest.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Palpitations, described as feeling the heart skip a beat, can be a symptom of various cardiac conditions, including arrhythmias, but are not singularly indicative of aortic stenosis. While aortic stenosis can lead to arrhythmias, palpitations are not the most specific or common initial complaint directly correlating with the physiological changes of a narrowed aortic valve.

Choice B rationale

Dyspnea on exertion, or shortness of breath with exercise, is a cardinal symptom of aortic stenosis. As the aortic valve narrows, the left ventricle must generate increasingly higher pressures to eject blood into the aorta. During exercise, cardiac output demands increase, and the stenosed valve restricts blood flow, leading to exertional dyspnea due to elevated left ventricular end-diastolic pressure and pulmonary congestion.

Choice C rationale

Pitting edema in the feet and ankles suggests fluid retention, which is a common manifestation of right-sided heart failure. While severe aortic stenosis can eventually lead to biventricular heart failure, peripheral edema is not typically the earliest or most specific symptom directly linked to the mechanical obstruction of the aortic valve itself. It is a later manifestation of cardiac decompensation.

Choice D rationale

Chest pain that resolves with rest is characteristic of stable angina, often caused by coronary artery disease. While patients with severe aortic stenosis can experience anginal chest pain due to increased myocardial oxygen demand from ventricular hypertrophy and reduced coronary perfusion, this symptom is not as specific to aortic stenosis as exertional dyspnea, which directly reflects the flow obstruction.

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Correct Answer is ["1800"]

Explanation

Step 1 is to calculate the infusion rate for the 1000 mL IV bag over 8 hours. 1000 mL ÷ 8 hours = 125 mL/hour.

Step 2 is to calculate the remaining infusion time for the 500 mL left in the current IV bag. 500 mL ÷ 125 mL/hour = 4 hours.

Step 3 is to determine the time the current IV bag will be finished. 1400 + 4 hours = 1800.

Step 4 is to determine when the nurse should administer the next bag. Since the current bag will finish at 1800, the next bag should be administered at 1800. Answer: 1800.

A. It should be used for job applications only. B. It demonstrates the applicant's potential. C. It answers asks for the job interview. D. It lets your future employer know what weaknesses you are working to improve.

Correct Answer is B

Explanation

Choice A rationale

A resume serves multiple purposes beyond just job applications. It is a marketing tool that showcases a candidate's qualifications, skills, and experiences. While primarily used for applications, it also aids in networking, career development, and providing a concise overview of one's professional history, making it versatile for various career-related endeavors.

Choice B rationale

A resume effectively demonstrates an applicant's potential by highlighting their relevant skills, educational background, work experience, and accomplishments. It provides a structured summary of their capabilities and past performance, allowing prospective employers to assess how well their qualifications align with the job requirements and predict future success within the organization.

Choice C rationale

A resume is designed to provide a concise overview of an applicant's qualifications and experiences, serving as a preliminary screening tool. It does not directly answer questions asked during a job interview; rather, it prompts those questions by providing a framework for discussion. Interview questions delve deeper into the information presented on the resume, assessing behavioral aspects and cultural fit.

Choice D rationale

A resume is a professional document intended to highlight strengths, achievements, and qualifications. It is not designed to reveal weaknesses or areas for improvement to a future employer. Discussing weaknesses is typically reserved for an interview, where a candidate can articulate self-awareness and present strategies for personal and professional development in a controlled manner.

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A client is undergoing diagnostic testing for aortic stenosis. What statement by the client during the nurse's interview is most suggestive of this valvular disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hours. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?.

Correct Answer is ["1800"]

Explanation

The new nurse is preparing to apply for a job. Which of the following is a good reason for the nurse to prepare a résumé?

Correct Answer is B

Explanation

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A client is undergoing diagnostic testing for aortic stenosis.
What statement by the client during the nurse's interview is most suggestive of this valvular disorder?