A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[54.328125,79.328125],\"yRanges\":[225.5,250.5]}"

To palpate the posterior tibial pulse, the nurse should place their fingers just behind the medial malleolus, which is the bony prominence on the inner side of the ankle. This is where the posterior tibial artery passes and is a common site for checking peripheral circulation in the lower extremities.

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Correct Answer is ["A","C"]

Explanation

A. Monitor your blood pressure on a regular basis: Regular monitoring of blood pressure is important for clients taking lisinopril to ensure the medication is effectively controlling hypertension.

B. Your cholesterol levels must be monitored monthly while taking this medication: Lisinopril does not typically require monthly cholesterol monitoring. This instruction is more relevant for statins or other lipid-lowering agents.

C. Report the development of a persistent dry cough.: A dry cough is a common side effect of ACE inhibitors like lisinopril. Clients should report this side effect as it may necessitate discontinuing the medication.

D. Your diet should include plenty of potassium-rich foods daily: Lisinopril can increase potassium levels, potentially causing hyperkalemia. Clients should be advised to avoid excessive potassium intake, not to increase it.

A. A systolic murmur B. A third heart sound (S3) C. A fourth heart sound (S4) D. An expected heart sound

Correct Answer is A

Explanation

A. A systolic murmur: A murmur heard between S1 and S2 occurs during systole, which is why it is classified as a systolic murmur. Systolic murmurs are often due to valve abnormalities like aortic stenosis or mitral regurgitation.

B. A third heart sound (S3): The S3 sound occurs after S2, not between S1 and S2. It is associated with rapid ventricular filling and may indicate heart failure.

C. A fourth heart sound (S4): The S4 sound occurs before S1, not between S1 and S2. It is associated with a stiff or hypertrophic ventricle.

D. An expected heart sound: A murmur is not considered an expected heart sound; it is typically abnormal and requires further investigation.

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A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?

Correct Answer is A

Explanation

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

A nurse is assisting with care of a client who has a prescription for 3.000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number)

A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?

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A nurse is reinforcing teaching about a heart healthy diet with a group of clients who have hypertension. Which of the following statements by the clients indicates a need for further teaching?

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