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When performing a focused cardiac assessment on a newly admitted client, the nurse notes a heave on the left side of the chest. What can a heave signify?

A.

Enlargement of the heart ventricle

B.

Turbulent blood flow

C.

Persistently slow heart beat

D.

Extreme pulse deficit

E.

Coronary artery blockage

Answer and Explanation

The Correct Answer is A

A. A heave (or lift) often indicates ventricular hypertrophy or enlargement, suggesting increased workload on the heart.

 

B. Turbulent blood flow may lead to murmurs but is not specifically associated with a heave.

 

C. A persistently slow heartbeat is referred to as bradycardia and does not correlate with a heave.

 

D. An extreme pulse deficit relates to discrepancies between heartbeats and palpable pulses but is not linked to a heave.

 

E. Coronary artery blockage would not directly produce a heave; it typically leads to ischemic changes.


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View Related questions

Correct Answer is D

Explanation

A. Fluid restriction by mouth is not typically necessary with opioid administration unless other health conditions require it.

B. A low salt diet is unrelated to opioid administration unless there are concurrent health issues like hypertension or fluid retention.

C. A chest x-ray is not indicated solely due to opioid use.

D. Stool softener medication is commonly prescribed alongside opioid medications because opioids frequently cause constipation due to reduced gastrointestinal motility.

E. Antidiarrheal medication is not needed, as opioids are more likely to cause constipation rather than diarrhea.

Correct Answer is A

Explanation

A. A heave (or lift) often indicates ventricular hypertrophy or enlargement, suggesting increased workload on the heart.

B. Turbulent blood flow may lead to murmurs but is not specifically associated with a heave.

C. A persistently slow heartbeat is referred to as bradycardia and does not correlate with a heave.

D. An extreme pulse deficit relates to discrepancies between heartbeats and palpable pulses but is not linked to a heave.

E. Coronary artery blockage would not directly produce a heave; it typically leads to ischemic changes.

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