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

Author Question: A nurse is auscultating an older patient's heart and notes a systolic murmur (heard between the S1 ... (Read 93 times)

cdr_15

  • Hero Member
  • *****
  • Posts: 546
A nurse is auscultating an older patient's heart and notes a systolic murmur (heard between the S1 and S2 heart sounds. The first action by the nurse is to:
 
  a. question the patient about the presence of the murmur.
  b. note it in the chart as this is always a nor-mal finding for an older adult.
  c. contact the medical provider as this is an abnormal finding.
  d. immediately implement emergency inter-ventions.

Question 2

The role of a nurse caring for an older patient who is in the stable phase of a chronic illness may include which of the following? (Select all that apply.)
 
  a. Coordinating care with members of the interdisciplinary team
  b. Administering medications to the patient
  c. Providing assistance with bathing and dressing
  d. Ensuring that the patient's immunizations are up to date
  e. Providing emergency care



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cascooper22

  • Sr. Member
  • ****
  • Posts: 312
Answer to Question 1

ANS: A
In normal aging, the heart valves separating the chambers thicken and stiffen as a result of lipid deposits and collagen cross-linking. Mild systolic murmurs (between S1 and S2) are expected findings in the older adult. Aortic and mitral valves are those most commonly affected. If the nurse auscultates a systolic murmur in an asymptomatic older adult, he or she should ask about it. Most older adults will reply that they have had it for a while. If this is not the case, the person is referred to a cardiologist. If the new finding is accompanied by any significant signs or symp-toms of distress, it is a medical emergency. Diastolic murmurs (heard between S2 and S1) are al-ways indicative of a serious problem in cardiac hemodynamics and these persons are followed closely by a cardiologist.

Answer to Question 2

ANS: A, B, C
Options A, B, and C are all roles of the nurse in the stable phase of chronic illness. Option d is a role of the nurse in the preventive phase of chronic illness. Option E is a role of the nurse in the acute phase of chronic illness.




cdr_15

  • Member
  • Posts: 546
Reply 2 on: Jul 11, 2018
Thanks for the timely response, appreciate it


ghepp

  • Member
  • Posts: 361
Reply 3 on: Yesterday
Excellent

 

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

For a complete list of videos, visit our video library