While performing a focused cardiac assessment, the nurse ...

[big1devin]

While performing a focused cardiac assessment, the nurse auscultates an abnormal swooshing sound. Which action is most appropriate to clarify the nurse's finding?
 
  a. The nurse uses the diaphragm of the ste-thoscope while asking the patient to take a deep breath.
  b. The nurse uses the bell of the stethoscope while asking the patient to lean forward.
  c. The nurse asks the patient about a history of heart stents.
  d. The nurse asks the patient about a history of cardiac dysrhythmias.

Question 2

The nurse is educating a 50-year-old patient about diabetes monitoring. Which statement reinforces the American Diabetes Association's (ADA's) recommendation?
 
  a. Obtain regularly scheduled fasting blood glucose levels.
  b. Strictly adhere to weight reduction diets.
  c. Exercise regularly in intervals lasting a minimum of 30 minutes.
  d. Use stress reduction techniques.

[Cheesycrackers]

Answer to Question 1

B
Heart murmurs usually generate a swooshing sound that results from turbulent blood flow (usually through damaged valves). The nurse should use the bell of the stethoscope and place it lightly on the skin. Leaning the patient forward may amplify or clarify the sound. Asking the pa-tient about heart stents and abnormal heart rhythms does not clarify the presence or history of a heart murmur.

Answer to Question 2

A
The ADA recommends screening with a fasting blood glucose. Adherence to a weight loss plan, regular exercise, and stress reduction techniques help control diabetes but do not monitor it.