Exam 20: Heart and Neck Vessels

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?

When assessing a patient's cardiovascular system, the nurse notes a high pitched scratchy sound at the apex of the heart.The nurse recognizes this as rubbing between the two walls of the sac surrounding and protecting the heart, called the:

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?

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

The nurse works with many recent immigrants, and recognizes the need to provide additional teaching on diabetes for the following populations at increased risk: (Select all that apply.)

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 vibration that feels like a purring cat 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?

In assessing for S₄ with a stethoscope, the nurse would listen with the:

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 need?

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

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

The electrical stimulus of the cardiac cycle follows which sequence?

The nurse is preparing for a class on risk factors for heart disease and identifies the population with the highest prevalence of heart disease as people of:

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 split S₂.Which of these findings is an expected hemodynamic change related to age?

Which of these findings would the nurse expect to notice during a cardiac assessment of a 4-year-old child?

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

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

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

During a cardiac assessment of 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 S₃ on auscultation.Which of these conditions best explains the cause of these findings?

During a cardiovascular assessment, the nurse knows that S₄ is:

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