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Patient Data

Exhibits

Drag from Word Choices to complete the sentence.

Heart sounds are loudest for S1 at the

and for S2 at the

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

  • S1 (first heart sound): The S1 sound, produced by the closure of the mitral and tricuspid valves, is best heard at the apex of the heart. This is because the apex is closer to the location of these valves, making the sound more prominent there.
  • S2 (second heart sound): The S2 sound, produced by the closure of the aortic and pulmonary valves, is best heard at the base of the heart. The base is where the aortic and pulmonary valves are located, so the sound from their closure is more pronounced here.


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Related Questions

Correct Answer is D

Explanation

A. Left carotid artery occlusion present; no occlusion of right carotid artery. A bruit suggests turbulent blood flow, which may indicate partial occlusion or narrowing, not necessarily a complete occlusion.

B. Left carotid artery has strong pulse; right carotid artery occluded. This documentation is incorrect as the nurse did not assess pulse volume but rather auscultated for bruits.

C. Left carotid pulse volume of 4+; right carotid pulse volume of 0. This statement is incorrect as it documents pulse volumes, which were not assessed by auscultation for bruits.

D. Left carotid artery bruit present; no bruit heard in right carotid artery. This is the correct documentation of the auscultation findings.

Correct Answer is B

Explanation

A. Appears confused and depressed. This statement is subjective and makes an assumption about the client's emotional state without concrete evidence. It is better to document objective observations.
B. Wandering behavior with flat affect. This is the best choice because it describes specific behaviors (wandering) and observable signs (flat affect) without making assumptions about the client's mental state.
C. Ambulatory and disoriented to place. While "ambulatory" is accurate, "disoriented to place" makes an assumption about the client's mental status that may not be verified.
D. Demonstrates signs of early dementia. This choice implies a diagnosis which cannot be made based on the described observations alone. Diagnosis should be left to a healthcare provider after a thorough evaluation.

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