While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

Chest pain

Orthopnea

Edema

Palpitations

Answer and Explanation

The Correct Answer is B

A. Chest pain: This symptom is important but does not specifically correlate with difficulty sleeping unless upright.

B. Orthopnea: Difficulty breathing while lying flat (orthopnea) is typically associated with heart failure and would require further investigation to understand its impact on the client's sleep.

C. Edema: While edema can be a sign of cardiovascular problems, it does not directly explain the difficulty in sleeping unless in an upright position.

D. Palpitations: Palpitations might affect sleep but are less directly linked to the need to sleep upright compared to orthopnea.

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Correct Answer is A

Explanation

Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.

B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.

C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.

D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.

A. Pancreatic cancer B. Acute pancreatitis C. Acid reflux D. Gastric ulcer

Correct Answer is C

Explanation

A. Pancreatic cancer: Typically associated with abdominal pain, weight loss, and jaundice rather than a burning sensation in the esophagus.

B. Acute pancreatitis: Causes severe abdominal pain, nausea, and vomiting, but not usually a burning sensation in the esophagus.

C. Acid reflux: Also known as gastroesophageal reflux disease (GERD), this condition commonly causes a burning sensation in the esophagus after eating.

D. Gastric ulcer: Generally causes pain in the upper abdomen and may be associated with indigestion, but not specifically a burning sensation in the esophagus.

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While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client complains of a burning sensation in the esophagus after eating. Which associated condition should the nurse most suspect?

Correct Answer is C

Explanation

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While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?