Patient Data

Exhibits

Heart sounds are loudest for S1 at the
dropdown
and for S2 at the
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

S1 (First Heart Sound): Loudest at the apex of the heart, which is located at the 5th intercostal space, midclavicular line. It is caused by the closure of the mitral and tricuspid valves.

S2 (Second Heart Sound): Loudest at the base of the heart, which is located at the 2nd intercostal space, near the aortic and pulmonic areas. It is produced by the closure of the aortic and pulmonic valves.

Center of the heart. No major auscultation point is located in the center. The heart sounds are best heard where blood flow is directed against the chest wall, not in the middle of the thorax.

Left side of the heart. While the left heart contains the mitral and aortic valves, this is too vague.The mitral sound (S1) is best heard at the apex, while the aortic sound (S2) is best heard at the base.

Right side of the heart. The tricuspid and pulmonic valves are on the right, but heart sounds are best heard at specific points rather than the general right side.

Nursing Test Bank

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Correct Answer is B

Explanation

A. A phosphodiesterase inhibitor on the medication list. Phosphodiesterase inhibitors, such as sildenafil (Viagra) and tadalafil (Cialis), are actually used to treat erectile dysfunction rather than cause it. If the client is taking this medication but still experiencing difficulty, it may indicate an underlying medical condition.

B. History of type 2 diabetes mellitus. Diabetes is a major risk factor for erectile dysfunction due to its effects on blood vessels and nerve function. Chronic high blood sugar can lead to neuropathy and vascular damage, impairing blood flow to the penis and causing persistent erectile difficulties.

C. A lifestyle with minimal physical activity. Sedentary behavior can contribute to conditions like obesity, cardiovascular disease, and poor circulation, which may indirectly affect erectile function. However, it is not as strong a direct cause as diabetes or other medical conditions.

D. Works more than 12 hours in a day. Long work hours can lead to stress and fatigue, which may temporarily affect libido and performance. However, work schedule alone is not a primary physiological cause of erectile dysfunction compared to diabetes-related nerve and blood vessel damage.

A. The gallbladder is normal. B. Palpating in the wrong abdominal quadrant. C. The client is too obese. D. Deeper palpation technique is needed.

Correct Answer is A

Explanation

A. The gallbladder is normal. In a healthy individual, the gallbladder is not usually palpable because it lies beneath the liver and is soft when not inflamed. If it were enlarged or diseased (e.g., cholecystitis), it might be palpable below the liver margin.

B. Palpating in the wrong abdominal quadrant. The gallbladder is located in the right upper quadrant (RUQ), just beneath the liver. If the nurse is palpating below the liver margin at the lateral border of the rectus abdominis muscle, they are in the correct location.

C. The client is too obese. While obesity can make palpation more challenging, the gallbladder is typically not palpable even in non-obese clients unless it is enlarged due to disease. The failure to palpate it does not necessarily mean the client's weight is the reason.

D. Deeper palpation technique is needed. Excessive palpation force is not necessary to detect a normal gallbladder. A non-palpable gallbladder is expected unless there is pathology causing enlargement or tenderness.

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Patient Data Exhibits Heart sounds are loudest for S1 at the dropdown and for S2 at the dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

Correct Answer is B

Explanation

While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

Correct Answer is A

Explanation

The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?

When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?

The nurse assesses a young adult female who was brought to the emergency department (ED) by her boyfriend because she has not been feeling well all day and he believes she is getting worse. Which finding supports the nurse's suspicion that the client is experiencing appendicitis?

When conducting a physical examination, the nurse is assessing a client's abdomen and identifies a centrally localized distention that is pulsating. This finding should direct the nurse to consider which pathology?

Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider?

The nurse observes that the lower legs of a client with diabetes mellitus are shiny, and with no hair growth. To obtain additional data to support these findings, which assessment should the nurse perform?

The nurse plans to assess a client's ability to think abstractly. Which question or statement is likely to provide the best information about the client's abstract thinking?

When assessing heart sounds of a client with rheumatic valvular heart disease, where should the nurse place the stethoscope to auscultate the tricuspid valve?

Patient Data

Exhibits

Heart sounds are loudest for S1 at the
dropdown
and for S2 at the
dropdown
.