Exam 17: Cardiovascular System

The nurse notes the pregnant client's blood pressure has dropped from 122/70 taken during her second month of pregnancy to 118/64 during her fifth month of pregnancy.Which of the following actions by the nurse is most appropriate?

During the focused interview,the client makes the following statements.Which of the following statements indicates that the client has an increased risk of developing cardiovascular disease?

The nurse is preparing to perform a cardiac assessment on a client.Rank the following pieces of the assessment in order of occurrence. A)Auscultation of the client's heart,apical pulse,and carotid arteries B)Inspection of the client's head and neck,chest,abdomen,and extremities C)Percussion of the client's chest D)Palpation of the precordium and pulses

During the cardiac assessment of a client,the nurse hears a loud rumbling during diastole that increases toward the end of the sound.This sound is heard with the bell of the stethoscope over the lower left sternal border.The nurse would suspect which of the following in this client?

The nurse is reviewing the client's chart.The client's blood pressure has been consistently elevated over the last eight years.The client has been noncompliant with lifestyle changes and medication use designed to reduce the client's blood pressure.Today,the nurse is able to palpate a heave on the client's chest.Draw an arrow to the most likely location that the nurse is able to palpate the heave.

The nurse is interviewing a client who has recently been diagnosed with atherosclerosis in the client's coronary arteries.Which of the following questions by the nurse has the highest priority to help the nurse determine the client's most important risk factor for this condition?

The client has been admitted to the Coronary Care Unit with a myocardial infarction.Which of the following statements by the client indicate that adequate learning has occurred?

The student nurse is assessing the client's cardiovascular system while the experienced nurse observes.The employment of which of the following techniques by the student nurse indicate the need for further education?

The nurse who works on a cardiac unit is teaching the student nurse about heart sounds.The student nurse asks how the S1 heart sound is produced.Which of the following is the nurse's best response?

The nurse is performing a cardiac assessment on a 70-year-old client admitted with hypertension.The nurse determines that the apical impulse can be palpated in an area 2 cm in diameter at the point of maximal impulse.The nurse suspects that the client may have developed which of the following problems?

The nurse is assessing a client and notes a loud,blowing sound over the right carotid artery.The nurse would suspect the client has developed which of the following disorders?

The Intensive Care Unit nurse is performing a cardiac assessment on a newly admitted 72-year-old client and notes the following findings: peripheral edema,jugular venous distention of 5 cm above the sternal angle when the client is at a 45 degree angle,and an enlarged liver.These findings are most consistent with which of the following disorders?

A 39-year-old client has been admitted to the hospital with complaints of increasing fatigue.The history is remarkable for rheumatic fever as a child.The nurse hears a diastolic murmur at the apex when the client is in the left lateral position.The murmur is described as a rumble without radiation.This description is most consistent with:

The nurse is caring for a client admitted with a grade 3 heart murmur heard during systole.The nurse would suspect which of the following cardiac conditions?

The nurse is preparing to assess the client's cardiovascular system.Which of the following positions will the nurse need to place the client in during the assessment?

The nurse is performing a cardiac assessment on a healthy elderly adult client.Which of the following findings may be expected when compared to when the client was middle-aged?

The nurse is percussing the client's anterior chest and notes a dull sound over an area where lung tissue is normally found.Which of the following would the nurse associate with this finding?

The client is 3 months pregnant.The nurse recently reviewed the objectives of Healthy People 2020 regarding pregnant women.Which of the following statements by the client indicates adequate education has occurred according to the objectives?

The client's stroke volume is 72 ml/beat.The client's heart rate is 82 beats per minute. What is the client's cardiac output?____________

The nurse is assessing a 20-year-old client and notes the presence of bilateral earlobe creases.The nurse would choose which of the following actions?