A heart murmur should be assessed for which of the following? Select all that apply.

Timing

Radiation

Fremitus

Egophony

Location

Answer and Explanation

Correct Answer : A,B,E

A.   The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B.   Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C.   Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D.   Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E.   The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.

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Correct Answer is A

Explanation

A. Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B. Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D. Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

A. Cyst B. Nodule C. Zosteriform D. Ulcer

Correct Answer is C

Explanation

A. Cyst refers to a fluid-filled sac, which does not present as a linear arrangement.
B. Nodule refers to a solid, raised lesion, not linear or along a nerve route.
C. Zosteriform refers to a rash or lesion arranged along a unilateral nerve distribution, often seen with shingles (herpes zoster).
D. Ulcer refers to a loss of skin or mucous membrane, not a linear pattern along a nerve route.

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A heart murmur should be assessed for which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Correct Answer is A

Explanation

A nurse is examining a patient and finds a lesion that is a linear arrangement along a unilateral nerve route. The nurse would document this finding as

Correct Answer is C

Explanation

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