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What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

Inquire about personal and family cardiac history

Ask about fatigue and chest pain

Inspect for intercostal retractions and nasal flaring

Palpate the chest for any thrills and heaves

Auscultate the heart with the diaphragm and bell of stethoscope

Question Solution

Correct Answer : A,B

A. Inquiring about personal and family cardiac history provides essential subjective information on potential hereditary risks and the client’s own cardiac health.

B. Asking about fatigue and chest pain allows the nurse to assess symptoms that may suggest cardiac issues, making it critical subjective data.

C. Inspecting for intercostal retractions and nasal flaring is part of the objective assessment rather than subjective data.

D. Palpating the chest for thrills and heaves is also an objective action, assessing physical findings rather than subjective symptoms.

E. Auscultating the heart with the diaphragm and bell of the stethoscope is an objective assessment to detect sounds rather than gathering subjective information from the client.

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A. A client demonstrates how to inject insulin into the abdomen B. A client attends a course on exercise techniques C. A client watches the nurse apply a dressing D. A client lists food choices that are considered part of a healthy diet E. A client nods when told how to take the blood pressure medication

Correct Answer is ["A","D"]

Explanation

A. Demonstrating an insulin injection shows hands-on learning and mastery of the skill.

B. Attending a course does not confirm comprehension or skill.

C. Watching a nurse apply a dressing does not guarantee learning; active participation is necessary.

D. Listing healthy food choices indicates understanding of dietary education.

E. Nodding does not confirm learning; it may only indicate acknowledgment.

A. Closure of the pulmonic and mitral valves B. Closure of the tricuspid and mitral valves C. Closure of the aortic and pulmonic valves D. Closure of the aortic and mitral valves E. Closure of the pulmonic and tricuspid valves

Correct Answer is C

Explanation

A. The closure of the pulmonic and mitral valves corresponds to heart sound S1, not S2.

B. The tricuspid and mitral valves close with S1.

C. Heart sound S2 represents the closure of the aortic and pulmonic valves, signaling the end of systole and the beginning of diastole.

D. The mitral valve closes with S1, not S2.

E. The pulmonic and tricuspid valves do not correspond with S2.

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What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

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Correct Answer is ["A","D"]

Explanation

Correct Answer is C

Explanation

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Take full exam for free What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

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Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

Correct Answer is ["A","D"]

Explanation

The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

Correct Answer is C

Explanation

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What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.