CV Assessment - Part 2

The nurse is assessing an adult client who has presented with shortness of breath. The client has been diagnosed with right-sided heart failure. Which of the following findings is expected in this client?

• Flattened jugular veins

• JVP as expected

• Elevated JVP

• Decreased JVP

The nurse is caring for a client who is scheduled to have an ABG sample taken on the right wrist. What physical examination maneuver should be used to assess the patency of the ulnar artery?

• Murphy's test

• Phelan's test

• Allen's test

• Obturator test

The nurse is caring for a client who has failed the Allen's test. Which of the following should the nurse do next?

• Ensure no procedures are done on that extremity's arteries

• Ensure the client's arm is elevated at all times

• Ensure the client drinks at least 1L of fluid daily

• Ensure the client's arm is in a dependent position at all times

The nurse is assessing a client who has been diagnosed with right-sided CHF. What should the nurse expect to see in this client?

• Localized edema of one leg

• Dependent edema, Sacral edema when supine, Increased JVP, S3

• Edema in the loose subcutaneous tissues of the eyelids

• Pulmonary edema

The nurse is caring for a client who has recently had a cast placed on his right upper extremity following a ulnar fracture. The client reports severe pain (10/10) that is unrelieved with pain medication. The extremity is pale and radial pulse is only found with a doppler. Capillary refill is >3seconds. What condition should the nurse suspect?

• DVT blood clot

• Venous insufficiency

• Compartment syndrome

• Development of a neuropathic ulcer

What is a common symptom of heart failure associated with abnormal cardiovascular findings?

• Chest pain

• Shortness of breath

• Dizziness

• Increased appetite

Which symptom is commonly associated with abnormal findings in an adult cardiovascular assessment?

• Increased energy levels

• Pale skin color

• Enhanced sense of taste

• Strong resistance to physical activity

What is an essential component of therapeutic communication in nursing?

• Speaking loudly to ensure clarity

• Using medical jargon for precision

• Demonstrating empathy and active listening

• Minimizing eye contact to respect privacy

A nurse in a provider's office is preparing to auscultate a client's thorax as part of a comprehensive physical examination. Which of the following findings should the nurse expect?

• Rhonchi

• Crackles

• Stridor

• Bronchovesicular sounds

During a cardiovascular examination, a nurse in a provider's office places the diaphragm of the stethoscope on the left midclavicular line at the fifth intercostal space. Which of the following data is the nurse attempting to auscultate? (Select all that apply).

• Ventricular gallop

• Closure of the mitral valve

• Closure of the pulmonic valve

• Apical heart rate

• Murmur