Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

Improper positioning

Fatigue or weakness

Respiratory distress

Increased comfort and relaxation

Answer and Explanation

The Correct Answer is C

A.   Improper positioning does not apply in this case; the position described is often associated with respiratory distress.
B.   Fatigue or weakness may be present, but the described position is more indicative of difficulty breathing.
C.   Respiratory distress is suggested by the patient leaning forward, which is a common position for patients with shortness of breath as it helps expand the lungs and ease breathing.
D.   Increased comfort and relaxation is unlikely; this position is more often associated with discomfort and difficulty breathing.

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Correct Answer is B

Explanation

A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

A. Timing B. Radiation C. Fremitus D. Egophony E. Location

Correct Answer is ["A","B","E"]

Explanation

A. The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B. Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C. Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D. Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E. The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.

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Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Correct Answer is B

Explanation

A heart murmur should be assessed for which of the following? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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