To determine the quality and intensity of a cardiac murmur, the nurse would take which action?

Use the bell of the stethoscope

Palpate the chest wall to feel the intensity of the murmur

Use a Doppler ultrasound device

Percuss the thorax cavity

Answer and Explanation

The Correct Answer is A

A. The bell of the stethoscope is best used to listen for low-pitched sounds, including some types of murmurs, and can help assess the quality and intensity of a cardiac murmur.

B. While palpation can provide some information about the heart's function (such as thrills), it is not the primary method for assessing the quality of a murmur.

C. A Doppler ultrasound device is used for measuring blood flow and can help in assessing murmurs but does not provide the quality assessment needed for characterizing a murmur.

D. Percussion is not typically used to evaluate murmurs; it is more useful for assessing the size and borders of organs.

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Correct Answer is B

Explanation

A. Assessing the pedal pulses does not provide relevant information about the irregularity of the radial pulse.

B. Assessing the apical pulse for a full minute is appropriate in this situation, as it provides a more accurate measurement of the heart rate and rhythm, especially when the radial pulse is irregular.

C. Assessing the popliteal pulses with a Doppler device is not necessary and does not directly address the irregular radial pulse.

D. While a pulse oximeter can provide information about oxygen saturation, it does not assess heart rate or rhythm.

A. the client may have presbyopia B. the client's vision is normal for someone her age C. the client has the beginning stages of cataract formation the D. client has increased intraocular or glaucoma E. client has increased intraocular or glaucoma

Correct Answer is A

Explanation

A. Presbyopia is a common age-related condition that affects the ability to see close objects clearly, which aligns with the client's difficulty in reading, sewing, and seeing faces up close.

B. While some vision changes are expected with aging, the specific difficulties the client is experiencing suggest a more definitive condition rather than "normal" vision changes.

C. While cataracts can cause vision issues, the specific symptoms described (trouble reading and seeing objects up close) are more characteristic of presbyopia.

D. Glaucoma typically involves peripheral vision loss rather than difficulty with near vision, so this option is not supported by the findings.

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To determine the quality and intensity of a cardiac murmur, the nurse would take which action?

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Naxlex Comprehensive Predictor Exams

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