A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.

(You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is {"xRanges":[141.765625,171.765625],"yRanges":[127.609375,157.609375]}

A.   To best hear the closing of the aortic heart valve, the nurse should place the diaphragm of the stethoscope at the second intercostal space, right sternal border. This is also known as the aortic area.
B.   This is the tricuspid region, and defects with the tricuspid valve will be best heard in this area.
C.   This is the mitral region and murmurs due to defects in the mitral valve will be appreciated here

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Correct Answer is D

Explanation

A. A blood pressure of 94/68 mm Hg is within the normal range for a 7-year-old child and may indicate compensated dehydration rather than severe dehydration.

B. A urinary output of 30 mL/hr is insufficient and may indicate dehydration, but it does not specifically indicate severe dehydration.

C. A respiratory rate of 24/min is within the normal range for a 7-year-old child and is not specifically indicative of severe dehydration.

D. Tachycardia (heart rate >100 beats per minute) is a common finding in severe dehydration as the body attempts to compensate for decreased blood volume by increasing heart rate.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

A. It would not be appropriate to place the client on restraints as this would increase agitation and he is not violent.

B. The client may have a urinary tract infection (UTI) that is causing fever, hypotension, and confusion. Monitoring elimination can help assess the severity of the infection and the need for antibiotics.

C. Dimming the lights can help reduce sensory overload and agitation in the client.

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A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client in the intensive care unit. Exhibits Complete the following sentence by using the list of options. The nurse should first plan to dropdown and then dropdown

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Explanation

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A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.

(You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)