6574782-Silvestri1901-2000

6574782-Silvestri1901-2000 - PN~CD~Questions~1901-2000 1...

Info icon This preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
PN~CD~Questions~1901-2000 - Comprehensive Review CD Questions 1901-2000 {COMP: Equations/Formulas: 1963; <AQ> questions: 1901, 1907, 1919, 1922, 1925, 1957; note multiple figures/figure credits for Question 1919.} {PLACE FIGURE HERE (Fig. 20) for Q#1901} Ignatavicius, D., & Workman, M. (2006). Medical surgical nursing: Critical thinking for collaborative care (5th ed.). Philadelphia: W.B. Saunders, p. 693. <AQ>1901. A nurse is checking the apical heart rate of a client with angina. The nurse places the stethoscope in which anatomical area? Answer: 4 Rationale: The apical heart rate is best assessed by placing the stethoscope in the mitral area, which is located in the fifth intercostal space on the left side of the chest at the apex of the heart. Erb’s point is located in the third intercostal space just left of the sternum. The aortic area is located in the second intercostal space just right of the sternum. The pulmonic area is located in the second intercostal space just left of the sternum. Test-Taking Strategy: Recalling that the apical heart rate is best assessed at the apex of the heart and knowledge that this area is located in the fifth intercostal space to the left of the sternum will direct you to option 4. Review the procedure for taking the apical heart rate if you had difficulty with this question. Level of Cognitive Ability: Application Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process/Data Collection Content Area: Adult Health/Cardiovascular References: Ignatavicius, D., & Workman, M. (2006). Medical surgical nursing: Critical thinking for collaborative care (5th ed.). Philadelphia: W.B. Saunders, p. 693. Linton, A., & Maebius, N. (2003). Introduction to medical-surgical nursing (3rd ed.). Philadelphia: W.B. Saunders, p. 561. {PLACE FIGURE HERE (Fig. 20) for Q#1901} Ignatavicius, D., & Workman, M. (2006). Medical surgical nursing: Critical thinking for collaborative care (5th ed.). Philadelphia: W.B. Saunders, p. 693. 1902. A nurse is collecting data from a client with varicose veins. Which finding would the nurse identify as an indication of a potential complication associated with this disorder? 1. Legs are unsightly in appearance and distress the client 2. The client complains of aching and feelings of heaviness in the legs 3. The physician finds that the legs become distended when the tourniquet is released during the Trendelenburg test 4. The client complains of leg edema, and skin breakdown has started Answer: 4 Rationale: Complications of varicose veins include leg edema, skin breakdown, ulceration of the legs, trauma leading to rupture of a varicosity, deep vein thrombosis, or 1
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
PN~CD~Questions~1901-2000 - chronic insufficiency. The client with varicose veins may be distressed about the unsightly appearance of the varicosities. Complaints of heaviness and aching in the legs are common. Option 3 describes the Trendelenburg test findings, which are indicative of varicose veins.
Image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern