HESI Case Study: Heart and Neck Vessel Latest Exam Questions Answered Correctly.
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Course
Heart and Neck Vessels
Institution
Heart And Neck Vessels
Based on Mr. Kapurs report of increasingly frequent periods of dyspnea, dizziness, and minor chest discomfort, what assessment should the nurse perform next? - Answer Determine if the client is currently experiencing any angina.
Rationale:
Because the client has a history of chest discomfort...
HESI Case Study: Heart and Neck Vessel
Latest Exam Questions Answered
Correctly.
Based on Mr. Kapurs report of increasingly frequent periods of dyspnea, dizziness, and minor chest
discomfort, what assessment should the nurse perform next? - Answer Determine if the client is
currently experiencing any angina.
Rationale:
Because the client has a history of chest discomfort, the nurse should first determine if the client is
experiencing any angina. Agina should be treated immediately to reduce the risk of myocardial
infraction.
After palpating an irregular pulse rythm at the left radial pulse site, what action should the nurse take to
confirm the clients heart rate? - Answer Auscultate the apical pulse for 1 minute.
Rationale:
Auscultation of the apical pulse site is the most accurate method to determine heart rate and rhythm
because the nurse is listening directly over the heart, rather than depending on the sound transmission
of the pulse to a distal site, such as the radial pulse site.
To gather data about Dev (mr. Kapur) history of chest pain, how should the nurse begin? - Answer
Encourage the client to describe his chest discomfort.
Rationale:
Because chest pain can manifest in a number of different ways, the nusre should begin by obtaining
information r/t at any type of chest discomfort so that further responses by the client include info r/ to
any type of chest discomfort he has experience.
To obtain information that will help distinguish whether the clients fatigue is cardiac in nature, what
questio should the RN ask the client? - Answer At what time of day do you feel most fatigued?
, Rationale:
Fatigue r/t to stress or depression may be worse in the morning or may be present all day. while fatigue
r/t to decreased cardiac output may worsen in the evening.
Before developing the client's plan of care, what information is most important for the nurse to obtain
regarding the client's spirtuatlity? - Answer how the client's spiritual beliefs impact his healthcare
expectations.
Rationale;
in planning care, the rn should try to d/m how the client's spiritual and cultural beliefs impact the
expectations for the care in the healthcare setting.
It is most important for the nurse to obtain further information related to which aspect of the client's
care? (choose the answers r/t to the clients culture) - Answer Dietary needs
Herbs or purgatives used
The nurse begins the Physical assessment by inspecting the client's precordium. The nurse completes the
interview and prepares to assess the client's heart and neck vessels. How should the nurse prepare the
client for inspection of the precordium? - Answer Help the client in a supine position on the bed with
his chest exposed.
Rationale:
a supine position with chest exposed provides the best inspection of the precordium.
The nurse should observe the force of the impulse at which position? (left ventricular heave) - Answer
left midclavicular line, 5th ICS.
To begin palpation at the base of the heart, where should the nurse palpate first? - Answer Right
sternal boarder, 2nd ICS.
rationale:
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