Exam 19: Heart and Neck Vessels

The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse knows that this finding indicates:

When listening to heart sounds,the nurse knows that the S?:

The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse.The apical pulse was 118 beats per minute,and the radial pulse was 105 beats per minute.What is the pulse deficit?

The mother of a 3-month-old infant states that her baby has not been gaining weight.With further questioning,the nurse finds that the infant falls asleep after nursing and wakes up after a short time,hungry again.What other information would the nurse want to have?

In assessing a patient's major risk factors for heart disease,which would the nurse want to include when taking a history?

A 70-year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute.The nurse hears an extra heart sound at the apex immediately before the S?.The sound is heard only with the bell of the stethoscope while the patient is in the left lateral position.With these findings and the patient's history,the nurse knows that this extra heart sound is most likely a(n):

While auscultating heart sounds on a 7-year-old child for a routine physical examination,the nurse hears an S?,a soft murmur at the left midsternal border,and a venous hum when the child is standing.What would be a correct interpretation of these findings?

The direction of blood flow through the heart is best described by which of these?

The component of the conduction system referred to as the pacemaker of the heart is the:

The nurse is examining a patient who has possible cardiac enlargement.Which statement about percussion of the heart is true?

Which of these statements describes the closure of the valves in a normal cardiac cycle?

During a cardiovascular assessment,the nurse knows that a thrill is:

A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg.In reviewing her previous examination,the nurse notes that her blood pressure in her second month was 124/80 mm Hg.In evaluating this change,what does the nurse know to be true?

During the precordial assessment on an patient who is 8 months pregnant,the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line.This finding would indicate:

During a cardiac assessment on a 38-year-old patient in the hospital for "chest pain," the nurse finds the following: jugular vein pulsations 4 cm above the sternal angle when the patient is elevated at 45 degrees,blood pressure 98/60 mm Hg,heart rate 130 beats per minute,ankle edema,difficulty breathing when supine,and an S? on auscultation.Which of these conditions best explains the cause of these findings?

The nurse is preparing for a class on risk factors for hypertension and reviews recent statistics.Which racial group has the highest prevalence of hypertension in the world?

A 45-year-old man is in the clinic for a routine physical examination.During the recording of his health history,the patient states that he has been having difficulty sleeping."I'll be sleeping great,and then I wake up and feel like I can't get my breath." The nurse's best response to this would be:

The sac that surrounds and protects the heart is called the:

When listening to heart sounds,the nurse knows the valve closures that can be heard best at the base of the heart are:

During an inspection of the precordium of an adult patient,the nurse notices the chest moving in a forceful manner along the sternal border.This finding most likely suggests a(n):