This topic contains a solution. Click here to go to the answer

Author Question: The client has a history of rheumatic fever. Which layer of the heart is at the greatest risk for ... (Read 113 times)

audie

  • Hero Member
  • *****
  • Posts: 532
The client has a history of rheumatic fever. Which layer of the heart is at the greatest risk for damage due to infection?
 
  1. A.
  2. B.
  3. C.
  4. D.

Question 2

The nurse is assessing the client's cardiovascular system. Which techniques are appropriate for the nurse to use during this assessment? Select all that apply.
 
  1. Continuing the exam when the client complains of discomfort when lying flat.
  2. Auscultating the apical impulse at the fifth intercostal space at the midclavicular line.
  3. Examining the client's legs and noting that the client's hair is evenly distributed.
  4. Palpating the client's carotid arteries simultaneously to determine pulse strength, rhythm, and rate.
  5. Examining the client's hands and fingers and noting the presence of clubbing.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Cheesycrackers

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

Correct Answer: 4
Strep infections can cause rheumatic fever. Rheumatic fever can damage the client's endocardium. The endocardium makes up the innermost layer of the heart and valve tissue.

Answer to Question 2

Correct Answer: 2, 3, 5

If the student nurse has determined the apical impulse to be located at the fifth intercostal space at the midclavicular line, this is normal. Examining the client's legs and noting that the client's hair is evenly distributed is an appropriate part of the examination. Patchy hair distribution can indicate that there is a circulatory problem. It is appropriate to examine the client's hands and fingers to determine the existence of peripheral circulatory problems. If the client complains of any discomfort during the examination, the nurse should pause the examination and the client should be assisted into a more comfortable position for the rest of the examination. Not all clients will be able to assume every position associated with this examination. The carotid pulses must never be palpated simultaneously since this may obstruct blood flow to the brain, resulting in severe bradycardia or asystole.





 

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

For a complete list of videos, visit our video library