When assessing heart sounds of a client with rheumatic valvular heart disease, where should the nurse place the stethoscope to auscultate the tricuspid valve?

Left fifth intercostal space, midclavicular line.

Third left intercostal space.

Left fourth intercostal space next to left sternal border.

Second right intercostal space.

Answer and Explanation

The Correct Answer is C

A.   The fifth intercostal space, midclavicular line, is the location for auscultating the mitral valve.
B.   The third left intercostal space is typically used for the pulmonic valve.
C.   The tricuspid valve is best auscultated at the left fourth intercostal space near the left sternal border.
D.   The second right intercostal space is used to listen to the aortic valve.

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Correct Answer is C

Explanation

A. A lifestyle with minimal physical activity may contribute to general health issues, but it is not as directly linked to erectile dysfunction as conditions like diabetes.
B. Working long hours can cause stress or fatigue, which may indirectly affect sexual function, but it is not a direct cause of erectile dysfunction.
C. Type 2 diabetes mellitus is a well-known risk factor for erectile dysfunction due to its impact on blood flow and nerve function, both of which are essential for normal erectile function.
D. A phosphodiesterase inhibitor is often used to treat erectile dysfunction, but its presence on the medication list is more likely a treatment rather than a cause.

A. Increase in sexual desire. B. Cessation of menstruation. C. Excessive vaginal moisture. D. Drenching night sweats.

Correct Answer is D

Explanation

A. This is unlikely to be associated with perimenopause. Often, perimenopause is linked to hormonal fluctuations that can lead to decreased libido rather than an increase.
B. While cessation of menstruation may indicate menopause, it is not typically seen during the perimenopausal phase, which is the time leading up to menopause. Perimenopause is characterized by irregular periods, not complete cessation.
C. Perimenopausal symptoms typically involve a decrease in vaginal moisture due to reduced estrogen levels. Excessive vaginal moisture would not be indicative of perimenopause and might suggest an infection or other conditions.
D. This is a classic symptom of perimenopause. Hormonal fluctuations during this time can lead to hot flashes and night sweats, which are commonly experienced as part of the transition toward menopause.

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When assessing heart sounds of a client with rheumatic valvular heart disease, where should the nurse place the stethoscope to auscultate the tricuspid valve?

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Naxlex Comprehensive Predictor Exams

When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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