While auscultating heart sounds, the nurse hears a murmur. Which of these modes should be used to assess this murmur?

Bell of the stethoscope

Palpation with the nurse's palm of the hand

Electrocardiography

Diaphragm of the stethoscope

Answer and Explanation

The Correct Answer is A

A. Bell of the stethoscope:
The bell is best for hearing low-pitched sounds like certain murmurs.

B. Palpation with the nurse's palm of the hand:
Palpation can detect thrills or vibrations but cannot auscultate murmurs.

C. Electrocardiography:
ECG records electrical activity but does not assess heart sounds.

D. Diaphragm of the stethoscope:
Best for high-pitched sounds like breath or bowel sounds, not low-pitched murmurs.

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Correct Answer is D

Explanation

A. "Do you wear glasses?":
Useful for vision screening, but not a key aspect of functional assessment post-stroke.

B. "Do you have any thyroid problems?":
Related to medical history, not daily functional ability.

C. "How many times a day do you have a bowel movement?":
Important for general health, but not a key functional task affected by a stroke.

D. "Are you able to dress yourself?":
Functional assessments aim to evaluate independence in activities of daily living (ADLs), especially post-stroke.

A. "I need to go on to the next patient. I'll be back." B. "Did we forget something?" C. "Is there anything else you would like to discuss?" D. "While I'm here, let's talk about your upcoming surgery."

Correct Answer is C

Explanation

A. "I need to go on to the next patient. I'll be back.":
Dismissive and does not offer the patient closure or opportunity for final questions.

B. "Did we forget something?":
Too vague and passive, may confuse the patient or fail to elicit remaining concerns.

C. "Is there anything else you would like to discuss?":
Open-ended and encourages the patient to voice final thoughts or unresolved concerns.

D. "While I'm here, let's talk about your upcoming surgery.":
Introduces a new topic instead of concluding the interview.

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While auscultating heart sounds, the nurse hears a murmur. Which of these modes should be used to assess this murmur?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question would be most important to ask an 82-year-old patient during a functional assessment, who has just recently suffered a stroke?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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