Exam 12: Cardiovascular Clinical Assessment

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An assessment finding of pulsus alternans may indicate evidence of what disorder?

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A

A patient was admitted 3 days ago with a myocardial infarction.The patient is complaining of increased chest pain when coughing,swallowing,and changing positions.The nurse hears a systolic scratching sound upon auscultation of the apical pulse.Based on the symptoms,the nurse suspects the patient may have developed what condition?

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D

A patient's blood pressure is 90/72 mm Hg.What is the patient's pulse pressure?

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C

A patient is admitted with a diagnosis of "rule out myocardial infarction." The patient reports midchest pressure radiating into the jaw and shortness of breath when walking up stairs.What factor influences the amount of history obtained during the admission assessment?

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During a history examination,a patient tells the nurse,"The cardiologist says I have a leaking valve." The nurse documents that the patient has a history of what condition?

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The abdominojugular reflux test determines the presence of which disorder?

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A patient is admitted with left-sided heart failure related to mitral stenosis.Physical assessment findings reveal tachycardia with an S3 and a 3/6 systolic murmur.The grading of a murmur as a 3/6 refers to which characteristics of the murmur?

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Which condition is usually associated with clubbing?

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The nurse assesses the dorsalis pedis and posterior tibial pulses as weak and thready.What should the nurse document for the pulse volume?

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The presence of a carotid or femoral bruit may be evidence of what anomaly?

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Which statements describe S1,the first heart sound?

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An 82-year-old patient is admitted into the critical care unit with a diagnosis of left-sided heart failure related to mitral stenosis.Physical assessment findings reveal tachycardia with an S3 and a 3/6 systolic murmur.Which of the following descriptions best describes the murmur heard with mitral stenosis?

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A heart murmur is described as blowing,grating,or harsh.This description would fall under which criteria?

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Abnormal heart sounds are labeled S3 and S4 and are referred to as what when auscultated during a tachycardic episode?

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A patient was admitted with of acute myocardial infarction.Upon auscultation,the nurse hears a harsh,holosystolic murmur along the left sternal border.The nurse notifies the physician immediately because the symptoms indicate the patient has developed what complication?

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When checking the patient's back,the nurse pushes her thumb into the patient's sacrum.An indentation remains.What assessment finding should the nurse document?

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Which statement best describes the purpose of the Allen test?

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A patient is admitted with a diagnosis of "rule out myocardial infarction." The patient reports midchest pressure radiating into the jaw and shortness of breath when walking up stairs.When inspecting the patient,the nurse notes that the patient needs to sit in a high Fowler position to breathe.The nurse suspects the patient may be experiencing what problem?

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What sounds are created by the turbulence of blood flow through a vessel caused by constriction of the blood pressure cuff?

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A patient is admitted with left-sided heart failure related to mitral stenosis.Physical assessment findings reveal tachycardia with an S3 and a 3/6 systolic murmur.Which statement about an S3 is accurate?

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