Exam 19: Heart and Neck Vessels

During inspection of the precordium of an adult patient,the nurse notices the chest moving in a forceful manner along the fourth-fifth left intercostal space at the midclavicular line.This finding most likely suggests:

The mother of a 10-month-old 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?

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

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

Which racial group has the highest prevalence of heart disease and stroke in the United States?

Which of the following statements is true regarding the apical impulse?

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

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

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

When assessing a newborn infant who is just 5 minutes old,the nurse knows that which of the following would be true?

In performing auscultation of heart sounds,which sequence would the nurse use?

In assessing a 70-year-old man,the nurse finds the following: BP 140/100 mm Hg;HR 104 and slightly irregular;split S₂.Which of these findings can be explained by expected hemodynamic changes related to age?

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

During a cardiac assessment on an adult patient in the hospital for "chest pain," the nurse finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees,BP 98/60,HR 130;ankle edema;difficulty in breathing when supine;and an S₃ on auscultation.Which of the following best explains the cause of these findings?

Which of the following best describes what is meant by atrial kick?