Assessing the heart and central vessels (1)

During an interview with the nurse, a client complains of a fatigue that seems to get worse in the evening. Which of the following causes of fatigue would explain this pattern?

In order to palpate an apical pulse when performing a cardiac assessment, where should the nurse place the fingers?

The client has been diagnosis with severe sepsis. Which finding would indicate the client is experiencing low cardiac output?

During a physical examination, a nurse notes that the client has a slow, regular pulse. On the cardiac monitor the nurse notes that the QRS complexes are regular and there are normal P waves. The ventricular rate is found to be 54 beats per minute. The nurse recognizes that this client may have an abnormality in which part of the conduction system?

A nurse monitors a client at risk for the onset of premature ventricular contractions. The nurse should monitor the client's cardiac rhythm for which characteristic feature?

A nurse cares for a client with acute pericarditis. The nurse should monitor the client for the onset of which clinical manifestation of cardiac tamponade?

How should a nurse assess a client for pulse rate deficit?

In which order should a nurse perform the appropriate physical assessment techniques to assess the carotid artery?

Which alteration in the pattern of the cardiac pulse should a nurse expect to find on examination of a client admitted with left ventricular failure?

A nurse detects a bruit on auscultation of the carotid arteries. What precaution should the nurse take during the remainder of the physical assessment of the carotid arteries?

A nurse expects to find which abnormal heart sound in a client diagnosed with mitral valve prolapse?

A nurse understands that the cardiac event that cycles the beginning of systole is what?

Which client is at greatest risk for the development of coronary heart disease?

Which statement describes the correct technique by a nurse for use of a stethoscope to auscultate the chest for heart sounds?

A nurse experiences difficulty with palpation of the apical impulse on the precordium. What is an appropriate action by the nurse?

A client is admitted for the new onset of heart failure. The nurse recognizes that which finding is the earliest sign of heart failure?

Which characteristic of the apical pulse should a nurse expect to find in the client diagnosed with left ventricular hypertrophy?

When auscultating the heart sounds of a client, a nurse notes that the S2 is louder than the S1. How should the nurse describe S2?

A nurse experiences difficulty differentiating S1 from S1 when auscultating a client's heart sounds. What is an appropriate action by the nurse

During auscultation of the heart, a nurse hears an extra heart sound immediately after S at the second left intercostal space. What should the nurse do to further assess this finding?

A nurse is unable to palpate the apical impulse on an older client. Which assessment data in the client's history should the nurse recognize as the reason for this finding?

Upon assessment of a client's pulse, a nurse notices that the amplitude of the pulse varies between beats. Which other finding should the nurse assess for in this client?

A nurse auscultates the heart rate of a young male and notices that the rate speeds with inspiration and slows with exhalation. S and S are normal. The nurse recognizes this as what dysrhythmia?

A nurse recognizes that the second heart sound, S2 , is produced by which cardiac action?

A nurse cares for a client who suffered a myocardial infarction 2 days ago. A high-pitched, scratchy, scraping sound is heard that increases with exhalation and when the client leans forward. The nurse recognizes this sound as a result of what process occurring within the pericardium?

A nurse is working with an older client who has decreased left ventricular compliance. The nurse understands that this condition will cause a decrease in the amount of blood pumped from the heart with each contraction, a measure known as which of the following?

A nurse is evaluating a client's jugular venous pressure. Which of the following findings would tend to indicate obstructive pulmonary disease?

A nurse is having trouble finding the apical pulse on an obese person. What is the most likely reason for this?

A nurse auscultates the heart of a client with hypertension for the past ten (10) years. With the client in the left lateral position, the nurse hears a heart sound that occurs just before S1. The nurse recognizes this sound as what pathological process?