The nurse is performing a focused cardiovascular assessment on a 70-year-old client. What finding would be considered abnormal? No palpable vibration felt over the precordium (chest wall)

S1 and S2 heard with diaphragm of stethoscope

A blowing sound heard over the mitral area with the bell of the stethoscope

Apical pulse palpated at 5th intercostal space, midclavicular line

Absent sound over carotid arteries with bell of the stethoscope

Answer and Explanation

The Correct Answer is B

A. S1 and S2 heard with the diaphragm of the stethoscope is a normal finding, as these are the expected heart sounds.
B. A blowing sound heard over the mitral area with the bell of the stethoscope suggests a possible murmur, which could indicate valvular abnormalities and is considered abnormal.
C. Apical pulse palpated at the 5th intercostal space, midclavicular line is normal and expected in adults.
D. Absence of sound over carotid arteries with the bell of the stethoscope indicates no bruits and is considered normal.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. In peripheral arterial insufficiency, blood flow is reduced, leading to cooler skin temperatures, especially in the affected extremity.
B. Nail appearance may be unhealthy due to poor perfusion; nails may become thickened or grow slowly.
C. Skin is typically cool and may be dry, not warm, indicating reduced blood flow.
D. A pulse of 2+ is within normal range; however, pulses may be diminished or absent in cases of significant arterial insufficiency.
E. The leg typically does not appear swollen; rather, it may show signs of atrophy or hair loss due to inadequate blood supply.

A. Decrease dietary protein B. Obtain flu vaccines C. Avoid overhydration D. Use handkerchiefs E. Limit daily activity

Correct Answer is B

Explanation

A. Decreasing dietary protein does not directly affect the spread of respiratory infections. Protein is important for maintaining immune function.
B. Obtaining flu vaccines is an effective way to reduce the spread of respiratory infections, especially among older adults who are at higher risk.
C. Overhydration is not related to infection control and is not necessary in this context.
D. While handkerchiefs may help with containing respiratory droplets, disposable tissues are generally more hygienic.
E. Limiting daily activity is unnecessary for preventing respiratory infections and could negatively impact overall health.

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The nurse is performing a focused cardiovascular assessment on a 70-year-old client. What finding would be considered abnormal? No palpable vibration felt over the precordium (chest wall)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with peripheral arterial insufficiency to the right leg. Which of these findings would the nurse expect to find with this condition?

Correct Answer is A

Explanation

When teaching a health promotion class at a retirement home for individuals 65 or greater, which information would the nurse include about ways to decrease the spread of respiratory infections?

Correct Answer is B

Explanation

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