Heart sounds are loudest for S1 at the __ and S2 at the _.

Right side of the heart.

Center of the heart.

Apex of the heart.

Base of the heart.

Left side of the heart.

Answer and Explanation

Correct Answer : C,D

Choice A rationale
The right side of the heart is not specifically associated with the loudest heart sounds for S1 or S213.
Choice B rationale
The center of the heart is not specifically associated with the loudest heart sounds for S1 or S213.
Choice C rationale
The apex of the heart is where S1 is loudest. S1 is caused by the closure of the mitral and tricuspid valves and is best heard at the apex.
Choice D rationale
The base of the heart is where S2 is loudest. S2 is caused by the closure of the aortic and pulmonic valves and is best heard at the base.
Choice E rationale
The left side of the heart is not specifically associated with the loudest heart sounds for S1 or S213.

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Correct Answer is C

Explanation

Choice A rationale
Working in a day care center may expose the client to minor injuries or infections, but it is not directly associated with widespread ecchymosis. Ecchymosis is more likely related to systemic issues rather than occupational hazards.
Choice B rationale
Adhering to a gluten-free diet is typically related to managing celiac disease or gluten intolerance, which primarily affects the gastrointestinal tract. Ecchymosis is not a typical manifestation of gluten intolerance.
Choice C rationale
Taking an oral anticoagulant medication increases the risk of bleeding, which can manifest as ecchymosis (bruising) on the skin. Anticoagulants such as warfarin or aspirin can interfere with the blood’s ability to clot, leading to bleeding into the skin and subsequent ecchymosis.
Choice D rationale
Dental surgery may involve procedures that could cause minor trauma to the oral tissues, leading to localized bruising around the mouth or jaw area. However, this localized bruising would typically not explain the presence of ecchymosis observed on the trunk and extremities.

A. Cornea are jaundiced. B. Face is flushed and diaphoretic. C. Oral mucosa is cyanotic. D. Eyelids are matted and crusted.

Correct Answer is C

Explanation

Choice A rationale
Jaundiced corneas indicate liver dysfunction or other serious conditions that require medical attention, but they do not require immediate intervention compared to cyanosis.
Choice B rationale
A flushed and diaphoretic face can indicate fever, heat exhaustion, or other conditions, but it is not as immediately life-threatening as cyanosis.
Choice C rationale
Cyanotic oral mucosa indicates a lack of oxygen in the blood, which is a medical emergency requiring immediate intervention.
Choice D rationale
Matted and crusted eyelids can indicate an eye infection or other conditions, but they do not require immediate intervention compared to cyanosis.

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Heart sounds are loudest for S1 at the ______ and S2 at the _____.

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Naxlex Comprehensive Predictor Exams

When inspecting the client’s skin, the nurse observes several areas of ecchymosis on the trunk and extremities. Which information in the client’s history requires additional follow-up by the nurse?

Correct Answer is C

Explanation

While observing a client’s face, which assessment finding requires immediate intervention by the nurse?

Correct Answer is C

Explanation

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Heart sounds are loudest for S1 at the __ and S2 at the _.