Exam 19: Heart and Neck Vessels

During an assessment,the nurse notes that the patient's apical impulse is laterally displaced and is palpable over a wide area.This finding indicates:

During an assessment of a healthy adult,where would the nurse expect to palpate the apical impulse?

The nurse is assessing a patient with possible cardiomyopathy and assesses the hepatojugular reflux.If heart failure is present,then the nurse should recognize which finding while pushing on the right upper quadrant of the patient's abdomen,just below the rib cage?

When assessing a newborn infant who is 5 minutes old,the nurse knows which of these statements to be true?

The mother of a 10-month-old infant tells the nurse that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing.He is also not crawling yet.During the examination the nurse palpates a thrill at the left lower sternal border and auscultates a loud systolic murmur in the same area.What would be the most likely cause of these findings?

The electrical stimulus of the cardiac cycle follows which sequence?

During the cardiac auscultation,the nurse hears a sound immediately occurring after the S? at the second left intercostal space.To further assess this sound,what should the nurse do?

The nurse is assessing the apical pulse of a 3-month-old infant and finds that the heart rate is 135 beats per minute.The nurse interprets this result as:

When the nurse is auscultating the carotid artery for bruits,which of these statements reflects the correct technique?

During an assessment of a 68-year-old man with a recent onset of right-sided weakness,the nurse hears a blowing,swishing sound with the bell of the stethoscope over the left carotid artery.This finding would indicate:

The nurse is preparing to auscultate for heart sounds.Which technique is correct?

In assessing the carotid arteries of an older patient with cardiovascular disease,the nurse would:

During a cardiovascular assessment,the nurse knows that an S? heart sound is:

The nurse knows that normal splitting of the S? is associated with:

The nurse is performing a cardiac assessment on a 65-year-old patient 3 days after her myocardial infarction (MI).Heart sounds are normal when she is supine,but when she is sitting and leaning forward,the nurse hears a high-pitched,scratchy sound with the diaphragm of the stethoscope at the apex.It disappears on inspiration.The nurse suspects:

The nurse is presenting a class on risk factors for cardiovascular disease.Which of these are considered modifiable risk factors for MI? Select all that apply.

While counting the apical pulse on a 16-year-old patient,the nurse notices an irregular rhythm.His rate speeds up on inspiration and slows on expiration.What would be the nurse's response?

A 30-year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During the assessment,the nurse palpates a thrill and lift at the fifth left intercostal space midclavicular line.In the same area,the nurse also auscultates a blowing,swishing sound right after the S?.These findings would be most consistent with:

The nurse is reviewing the anatomy and physiologic functioning of the heart.Which statement best describes what is meant by atrial kick?

In assessing a 70-year-old man,the nurse finds the following: blood pressure 140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the split S? heart sound.Which of these findings can be explained by expected hemodynamic changes related to age?