The nurse is performing an assessment on an infant. Which finding ...

[maegan_martin]

The nurse is performing an assessment on an infant. Which finding is considered an abnormal cardiovascular assessment that should be documented and reported to the physician?
 
  A) Decreased heart rate
  B) Visible pulsation through a thin chest wall
  C) Sinus dysrhythmia that increases with inspiration and decreases with expiration
  D) Presence of an S heart sound

Question 2

An older adult asks the nurse about the appearance of flat brown age spots on the hands.
 
  After examining the client's hands, the nurse recognizes these skin characteristics as a common skin variation in the older adult and documents the variations as which of the following?
 
  A) Senile lentigines
  B) Lanugo
  C) Senile keratosis
  D) Cherry angiomas

[elizabethrperez]

Answer to Question 1

Ans: A
Infants and children should have a more rapid heart rate, instead of a decreased heart rate, until about age 8 years. Common cardiovascular findings include visible pulsation if the chest wall is thin, sinus dysrhythmia (the rate increases with inspiration and decreases with expiration), and the presence of an S heart sound.

Answer to Question 2

Ans: A
Senile lentigines are flat, brown age spots, senile keratosis are raised, dark areas, and cherry angiomas are small, round red spots. All are common skin variations in the older adult. Lanugo is a fine downy hair that appears on the newborn for the first two weeks of life.