A nursing student was attempting to palpate a patient's apical pulse and sought assistance from a classmate with landmarking the point of maximal impulse.
After the assessment, the classmate questioned the student, asking, What's the point of palpating your patient's pulse when auscultation gives you a lot more data? How can the student most accurately respond to the classmate's question?
A) Palpation of the patient's apex helps to gauge the degree of coronary artery disease.
B) Apical palpation informs an assessment of ventricular enlargement or turbulent blood flow.
C) The apical pulse will be difficult to palpate in patients who have acute coronary syndrome (ACS) but easy to palpate in healthy patients.
D) Apical palpation is a way of indirectly assessing a patient's peripheral vascular disease and arterial insufficiency.
Question 2Which of the following are reasons that hospitalized older adults require early and competent discharge planning? (Select all that apply.)
A) To prevent complications
B) To reduce the risk of rehospitalization
C) To minimize stress to themselves and their caregivers
D) So that they can leave the hospital in a sicker, more debilitated state
Question 3The avoidance of ___________ __________ decreases the risk for lung cancer.
Fill in the blank(s) with correct word
Question 4The nurse is performing a focused assessment of a patient whose medical diagnoses include heart failure.
The nurse has positioned the patient in a semi-Fowler's position (head of bed 45 degrees) and noted that the patient's external jugular vein is visibly distended and pulsates with systole. What conclusion should the nurse draw from this assessment finding?
A) The patient is exhibiting symptoms of left-sided heart failure.
B) The patient has a pulse pressure of greater than 30 mm Hg.
C) The patient's central venous pressure (CVP) is elevated.
D) The patient is experiencing fluid volume excess.
Question 5An 81-year-old female patient has just been admitted to the hospital following a stroke.
The patient's daughter is upset that nurses are trying to carry out discharge planning early in the admission, characterizing their efforts as evidence that they just want to get her out the door as soon as possible.. How can a nurse best respond to the daughter's concern? A) Actually, it's been found that patients who leave the hospital as soon as possible recover better and more quickly than those who stay hospitalized longer..
B) Our goal is not to rush your mother's discharge but rather to have as many supports in place as possible when it does come time for her to go home..
C) Unfortunately, one of the realities of hospital care today is that patients do get discharged earlier than they did in years past..
D) Discharge can often happen with little notice, so we are trying to get as much organized early in her admission as we can..
Question 6A therapeutic measure to reduce increased intracranial pressure is
a. suction the patient every 2 hours.
b. place in a semiprone position.
c. reduce fluid intake.
d. keep the patient flat in bed.
Question 7Which of the following measures would be particularly important for preventing infections of elderly persons who are being cared for in a health-care institution? (Select all that apply.)
A) Ensuring that the older adult has had all childhood immunizations.
B) Ensuring that pneumococcal and influenza immunizations have been administered (unless contraindicated).
C) Adhering to infection-control practices.
D) Restricting contact with persons who have infections or suspected infections.
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