Nokea
Where should the nurse auscultate the aortic valve?
- A. Location A: Second intercostal space, right of sternum
- B. Location B: Second intercostal space, left of sternum
- C. Location C: Fifth intercostal space, midclavicular line
- D. Location D: Fourth intercostal space, left of sternum
Correct Answer: A
Rationale: The aortic valve is best auscultated in the second intercostal space just to the right of the sternum, where heart sounds related to aortic flow are most audible.
You may also like to solve these questions
A nurse assesses an older adult client who is experiencing a myocardial infarction. Which clinical manifestation should the nurse expect?
- A. Excruciating pain on inspiration
- B. Left lateral chest wall pain
- C. Disorientation or confusion
- D. Numbness and tingling of the arm
Correct Answer: C
Rationale: In older adults, myocardial infarction may present with atypical symptoms such as disorientation or confusion due to poor cardiac output and reduced cerebral perfusion. While pain or numbness may occur, confusion is a critical manifestation in this population.
A nurse prepares a client for a pharmacologic stress echocardiogram. Which actionsadalafil should the nurse take when preparing this client for the procedure? (Select all that apply.)
- A. Obtain peripheral venous access
- B. Prepare for continuous blood pressure and pulse monitoring
- C. Administer the client's prescribed beta blocker
- D. Give the client nothing by mouth 3 to 6 hours before the procedure
- E. Explain to the client that dobutamine will simulate exercise for this examination
Correct Answer: A,B,D,E
Rationale: For a pharmacologic stress echocardiogram, the nurse should obtain IV access, monitor blood pressure and pulse continuously, ensure the client is NPO for 3-6 hours, and educate about dobutamine's role in simulating exercise. Beta blockers are typically held to avoid interference with the stress test.
A nurse prepares a client with acute renal insufficiency for a cardiac catheterization. The provider prescribes 0.9% normal saline to infuse at 125 mL/h for renal protection. The nurse obtains gravity tubing with a drip rate of 15 drops/mL. At what rate (drops/min) should the nurse infuse the fluids?
- A. 30 drops/min
- B. 31 drops/min
- C. 32 drops/min
- D. 33 drops/min
Correct Answer: B
Rationale: To calculate the drip rate: (125 mL/h ? 15 drops/mL) ÷ 60 min/h = 31.25 drops/min. Rounding to the nearest whole number gives 31 drops/min.
A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery. The nurse notes that the left pedal pulse is weak. Which action should the nurse take?
- A. Elevate the leg and apply a sandbag to the entrance site
- B. Increase the flow rate of intravenous fluids
- C. Notify the provider immediately
- D. Document the finding as left pedal pulse of +1
Correct Answer: C
Rationale: A weak pedal pulse post-angiography may indicate arterial obstruction or hematoma formation, which is a serious complication. The nurse should notify the provider immediately for further evaluation and intervention.
An emergency department nurse triages clients who present with chest discomfort. Which client should the nurse plan to assess first?
- A. A 30-year-old female who describes her pain as a dull ache with numbness in her fingers
- B. A 40-year-old male who reports moderate pain that is worse on inspiration
- C. A 53-year-old female who reports substantial pain that radiates to her abdomen
- D. A 36-year-old female who reports substantial pain that radiates to her jaw
Correct Answer: D
Rationale: Substantial chest pain radiating to the jaw is a classic symptom of myocardial infarction, requiring immediate assessment. Pain described as dull, related to inspiration, or radiating to the abdomen is less specific for acute cardiac events.