The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

Use tangential lighting.

Assist the client to a standing position.

Use perpendicular lighting.

Focus a penlight on the client's chest.

Answer and Explanation

The Correct Answer is C

A. Use tangential lighting: Tangential lighting is not typically used for assessing heart impulses; it is more useful for examining surface characteristics of the skin.

B. Assist the client to a standing position: The client should be in a supine or semi-recumbent position for accurate inspection of apical heart impulses, not standing.

C. Use perpendicular lighting: Perpendicular lighting is crucial for accurately visualizing apical heart impulses, as it helps to clearly observe the movement of the heart against the chest wall.

D. Focus a penlight on the client's chest: While a penlight can be used in physical assessments, perpendicular lighting is more effective for clearly seeing the apical heart impulses.

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Correct Answer is A

Explanation

A. T wave: The T wave represents ventricular repolarization (relaxation), indicating the end of the ventricular contraction phase.

B. QRS complex: The QRS complex represents ventricular depolarization (contraction), not repolarization.

C. P wave: The P wave represents atrial depolarization, not ventricular repolarization.

D. ST segment: The ST segment represents the time between ventricular depolarization and repolarization, but it is not the waveform indicating repolarization itself.

A. False B. True

Correct Answer is B

Explanation

A. False: Tobacco use and excessive alcohol consumption are well-established risk factors for oral carcinoma. They contribute significantly to the development of oral cancers.

B. True: Both tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma due to their carcinogenic properties, making this statement accurate.

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The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).

Correct Answer is A

Explanation

Use of tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma.

Correct Answer is B

Explanation

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

Which type of assessment includes a health history and physical assessment?

The nurse who has been assigned to a client on the second shift is assessing a client to evaluate the outcomes identified in the care plan. This nurse is conducting which type of assessment?

Data collection occurs where in the nursing process?

Cranial nerves involved in eye movements are:

Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

When teaching students how to perform an assessment, the nurse informs the students that the reason this information needs to be accurate and complete is:

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?