During a cardiovascular assessment, the nurse knows that a thrill is:
A murmur auscultated at the third intercostal space
A palpable vibration of rushing blood flow
Associated with ventricular hypertrophy
Palpated in the right epigastric area
The Correct Answer is B
A. A murmur auscultated at the third intercostal space:
A murmur is auscultated, not palpated. A thrill is tactile.
B. A palpable vibration of rushing blood flow:
A thrill is felt on palpation and often associated with grade 4+ murmurs or turbulent blood flow.
C. Associated with ventricular hypertrophy:
Thrills may occur with structural heart issues but are not diagnostic of hypertrophy itself.
D. Palpated in the right epigastric area:
The epigastric area is not a primary site for assessing thrills over the precordium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A 42-year-old who has had ovarian cancer:
Ovarian cancer is a modifiable-associated risk, but the condition itself is not a direct unmodifiable breast cancer risk factor.
B. A 45-year-old who has never been pregnant:
Nulliparity is a modifiable reproductive risk factor.
C. A 65-year-old whose mother had breast cancer:
Family history and age are unmodifiable risk factors for breast cancer.
D. A 37-year-old who is slightly overweight:
Overweight is a modifiable risk factor through lifestyle change.
Correct Answer is B
Explanation
A. Using a helmet when riding a motorcycle:
Not a typical concern or screening priority for older adults, especially at age 75. It targets younger populations involved in high-risk activities.
B. Falls and loss of hearing and visual acuity:
These are age-related risks in older adults and are routinely screened to promote safety and prevent injury.
C. Injuries from rock climbing activities:
Unlikely to be relevant for most 75-year-olds; this focuses on a younger, more active demographic.
D. Literacy and communication skills:
While important, these are not primary screening focuses in elderly populations unless there is a specific concern noted.
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