During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

III

Answer and Explanation

The Correct Answer is A

A. I: A grade I murmur is very faint and may not be heard immediately without careful listening. The description of a murmur heard immediately upon placing the stethoscope indicates it is a grade I.

B. X: There is no grade X in the standard grading scale for heart murmurs.

C. II: A grade II murmur is quiet but easily heard with a stethoscope and would generally be more audible than described.

D. III: A grade III murmur is moderately loud and would be heard without difficulty. The description suggests a quieter murmur.

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Correct Answer is D

Explanation

A. Dependent edema is characterized by swelling in the lower extremities due to gravity and may not always present with pigmentation changes.

B. Stasis ulceration involves ulcerative lesions typically occurring on the lower legs, often associated with venous insufficiency, but the pigmentation alone does not confirm ulceration.

C. Arterial occlusion typically presents with symptoms such as pain, pallor, and decreased pulses, not necessarily with warm skin and brown pigmentation.

D. Venous insufficiency is characterized by symptoms such as warm skin, brown pigmentation around the ankles (due to hemosiderin deposition from blood pooling), and swelling.

A. Smoking B. Diabetes C. Elevated Cholesterol Levels D. Hypertension

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

Explanation

A. Smoking: Smoking is a major risk factor for peripheral vascular disease as it contributes to vascular damage and atherosclerosis.

B. Diabetes: Diabetes increases the risk of peripheral vascular disease by contributing to endothelial dysfunction and atherosclerosis.

C. Elevated Cholesterol Levels: High cholesterol levels contribute to the formation of atherosclerotic plaques in peripheral vessels.

D. Hypertension: High blood pressure can lead to damage of blood vessels and increase the risk of peripheral vascular disease.

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During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?

Correct Answer is D

Explanation

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

Explanation

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