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Author Question: Upon auscultation of the patient's chest, the nurse hears a whooshing sound at the fifth intercostal ... (Read 28 times)

darbym82

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on: Jul 22, 2018
Upon auscultation of the patient's chest, the nurse hears a whooshing sound at the fifth intercostal space. What does this finding indicate to the nurse?
 
  a. The beginning of the systolic phase
  b. Regurgitation of the mitral valve
  c. The opening of the aortic valve
  d. Presence of orthopnea

Question 2

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?
 
  a. Nasal cannula
  b. Simple face mask
  c. Non-rebreather mask
  d. Partial non-rebreather mask


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Amiracle

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Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: B
When regurgitation occurs, there is a backflow of blood into an adjacent chamber. For example, in mitral regurgitation the mitral leaflets do not close completely. When the ventricles contract, blood escapes back into the atria, causing a murmur, or whooshing sound. The systolic phase begins with ventricular filling and closing of the aortic valve, which is heard as the first heart sound, S1. Orthopnea is an abnormal condition in which a patient uses multiple pillows when reclining to breathe easier or sits leaning forward with arms elevated.

Answer to Question 2

ANS: A
Nasal cannulas deliver oxygen from 1 to 6 L/min. All other devices (simple face mask, non-rebreather mask, and partial non-rebreather mask) are intended for flow rates greater than 6 L/min.


darbym82

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Reply #2 on: Jul 22, 2018
TY


Amiracle

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Reply #3 on: Jul 22, 2018
You're welcome


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