The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

bell of the stethoscope on top of the patient's gown.

diaphragm of the stethoscope directly on the patient's skin.

diaphragm of the stethoscope on top of the patient's gown.

bell of the stethoscope directly on the patient's skin.

Answer and Explanation

The Correct Answer is B

A.   The bell is used to detect low-pitched sounds, but abnormal heart sounds are often high-pitched, requiring the diaphragm.
B.   The diaphragm of the stethoscope is best for detecting high-pitched heart sounds, such as murmurs or abnormal rhythms.
C.   The diaphragm on top of the gown would create interference and prevent proper auscultation of heart sounds.
D.   The bell is used for lower-pitched sounds and is not the best choice for auscultating abnormal heart sounds.

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Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

A. temperature B. pulse C. blood pressure D. respirations

Correct Answer is D

Explanation

A. Temperature monitoring is important but not a top priority when a patient is receiving opiates unless there is suspicion of infection.
B. Pulse monitoring is also important but does not immediately indicate issues with opiate use.
C. Blood pressure is influenced by opiate use, but the primary concern is respiratory function due to the risk of respiratory depression.
D. Respirations should be closely monitored because opiates can significantly depress the respiratory system, leading to hypoventilation or respiratory arrest, which is the most critical risk.

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The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing an initial assessment on a patient, which piece of information is of highest priority?

Correct Answer is D

Explanation

A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

Correct Answer is D

Explanation

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