What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

Inquire about personal and family cardiac history

Ask about fatigue and chest pain

Inspect for intercostal retractions and nasal flaring

Palpate the chest for any thrills and heaves

Auscultate the heart with the diaphragm and bell of stethoscope

Answer and Explanation

Correct Answer : A,B

A. Inquiring about personal and family cardiac history provides essential subjective information on potential hereditary risks and the client’s own cardiac health.
B. Asking about fatigue and chest pain allows the nurse to assess symptoms that may suggest cardiac issues, making it critical subjective data.
C. Inspecting for intercostal retractions and nasal flaring is part of the objective assessment rather than subjective data.
D. Palpating the chest for thrills and heaves is also an objective action, assessing physical findings rather than subjective symptoms.
E. Auscultating the heart with the diaphragm and bell of the stethoscope is an objective assessment to detect sounds rather than gathering subjective information from the client.

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Correct Answer is ["A","D"]

Explanation

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.
B. Palpating for masses is more of a physical assessment and does not yield subjective data.
C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.
D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.
E. Auscultation is an objective assessment technique and does not pertain to subjective data.

A. S1 and S2 heard with diaphragm of stethoscope B. A blowing sound heard over the mitral area with the bell of the stethoscope C. Apical pulse palpated at 5th intercostal space, midclavicular line D. Absent sound over carotid arteries with bell of the stethoscope

Correct Answer is B

Explanation

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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What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

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Naxlex Comprehensive Predictor Exams

What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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)

Correct Answer is B

Explanation

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