While auscultating heart sounds, asking the client to turn onto a left lying position would help the nurse assess the presence of which of the following?

Aortic murmurs

Atrial repolarization

The first heart sound

Mitral stenosis

Answer and Explanation

The Correct Answer is D

A. Aortic murmurs: These are best assessed with the client in an upright or slightly leaning forward position, not specifically the left lateral position.

B. Atrial repolarization: This is not directly assessed by body position; it is part of the ECG assessment.

C. The first heart sound: The first heart sound (S1) is heard throughout the auscultation process and is not specifically enhanced by a left lateral position.

D. Mitral stenosis: The left lateral position allows better auscultation of the mitral area, where mitral stenosis murmurs are best heard.

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

Explanation

A. Using low sodium seasoning can help reduce sodium intake, which is beneficial for hypertension management.

B. Increasing dairy products may not necessarily help with hypertension unless they are low-fat or fat-free options, but it’s not a primary strategy.

C. Foods like bananas and sweet potatoes are high in potassium, which helps counteract sodium's effects and supports healthy blood pressure.

D. Brisk walking for 30 minutes per day is a recommended exercise to help manage and prevent hypertension.

E. Consuming red wine is not recommended for hypertension; excessive alcohol intake can increase blood pressure.

A. Fourth intercostal space, left sternal border B. Second intercostal space, left sternal border C. Fifth intercostal space, left midclavicular line D. Third intercostal space left axillary line

Correct Answer is C

Explanation

C. Fifth intercostal space, left midclavicular line: The apical impulse, or point of maximal impulse (PMI), is typically palpated at the fifth intercostal space, left midclavicular line, where the apex of the heart is closest to the chest wall.

A. Fourth intercostal space, left sternal border: This location is not typically used for palpating the apical impulse; it is more relevant for auscultating heart sounds.

B. Second intercostal space, left sternal border: This location is used for auscultating the aortic and pulmonic valves.

D. Third intercostal space left axillary line: This is not a standard location for palpating the apical impulse.

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While auscultating heart sounds, asking the client to turn onto a left lying position would help the nurse assess the presence of which of the following?

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Naxlex Comprehensive Predictor Exams

A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? Select all that apply.

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

Explanation

The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

Correct Answer is C

Explanation

A mitral insufficiency/regurgitation murmur is classified as:

Aortic insufficiency/regurgitation murmur is classified as a:

In an Electrocardiogram EKG tracing the P wave represents?

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

What is responsible to move the blood supply from the feet toward the inferior vena cava?