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 C

Explanation

Rationale:

A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.

B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.

C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.

D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.

A. Ask the client to identify scented aromas. B. Ask the click to read a Snellen chart. C. Listen to the client's speech. D. Ask the client to clench his teeth.

Correct Answer is A

Explanation

A. Asking the client to identify scented aromas assesses cranial nerve I (olfactory nerve), which is responsible for the sense of smell.
B. Reading a Snellen chart assesses cranial nerve II (optic nerve), which is related to vision.
C. Listening to the client's speech evaluates the function of cranial nerves V (trigeminal) and XII (hypoglossal), which are related to mastication and tongue movement, respectively.
D. Asking the client to clench his teeth tests cranial nerve V, which innervates the muscles of mastication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which recreational drug is commonly associated with nasal septum perforation?

Correct Answer is C

Explanation

A nurse is assessing a client's cranial nerves. Which method should the nurse use to assess cranial nerve I?

Correct Answer is A

Explanation

A nurse is interpreting the ECG strip of a client who has bradycardia. Which cardiac components should the nurse identify as the role of the P wave?

A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

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A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing a program on osteoporosis for a local women's group. Which of the findings does the nurse recognize as a modifiable risk factor?

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

The nurse is working with a group of clients. Which clients are at risk for developing skin cancer? Which assessment findings are at risk for skin cancer (Select all 3 that apply)?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which adventitious breath sounds?