nursing student question 2

[BeOne77]

1) a 45 year old male is here for a "routine physical". During the history the patient states he's been having difficuulty sleeping. "i'll be sleeping great and then I wake uup and feel like I can't get my breath." Your best response would be:

a) "when was your last electrocardiogram?"

b) "Its probably because its been so hot at night."

c) Do you have any history of problems with your heart?"

D) Have you had a recent sinus infection or upper respiratory infection?

2) Which of the following would be an expected finding in a cardiac assessment of a four year old?

a) s3 when sitting up

b) persistent tachycardia > 150

c) murmur at second left intercostal space when supine

d) Palpable apical impulse in fifth intercostal space lateral to midclavicular line.

3) The mother of a 10month old tells you that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing. He is also not crawling yer. In your examination you palpate a thrill at the left loweer sternal border and auscualtate a lound systolic murmur in the same area. What would be the most likely cause of these findings?

a) tetralogy of Fallot

b) atrial deptal defect

c) Patent ductus arteriosis

d) ventricular septal defect

4) A 67 yr old patient states that he recently began to develpp pain in his left calf when climbing the 10 staries to his apartment. This pain is relieved by sitting for about 2 minutes, then he is able to resume his activities. This patient is most likely experiencing:

a) claudication

b) sore muscles

c) muscle cramps

d) venous insufficiency

Please help me with these questions I do not have answers for them.

My best guess is 1)c 2)d 3)a 4)c

what do you think?

[BeOne77]

I need help tonite on these questions . Anyone out there?

[ansn]

Number 1 by using communication skills would be C.

Number 2 the s3 is normal in a child

number 3 and 4 I have no clue at this point hope that helps some:)

[AB~RN]

Number 4 is A.

[nightmare, RN]

I'd say number 4 is a) because the pain comes on with exertion and goes with rest.

[Rabid Response]

Is there no textbook assigned for this class? Apparently your instructor expects you to be able to answer these questions by using what you have learned in class, readings, clinicals, etc... to figure them out. I don't think the users of this site do students any favors when they just hand them the answers to their homework assignments.

[VICEDRN, BSN, RN]

The first question is C. (This is open ended communication technique)

The second question is D. (S3 is not a normal finding when in the upright position, I think. Its only normal in peds and women when laying down.)

I have no idea about number 3.

Number 4 is claudication.

This sounds like Health Assessment class. (Its in my textbook. I am too lazy to find no. 3.)

What's going on with your class? This material should all be really accessible to you!

Best of luck to you.

[nurz2be]

1 - C for reasons already stated

2 - D again already stated

3 - A Tetralogy of Fallot - Tetralogy of Fallot occurs during development of the fetus, before birth, and is therefore termed a congenital birth defect. An error occurs as the fetal heart separates into the chambers, valves, and other structures that make up the normal human heart. No one is really sure why this error occurs.

Once able to walk, the child often assumes a squatting position to catch his or her breath and then resumes physical activity. Squatting increases the pressure transiently in the aorta and left ventricle, causing less blood to move into the left ventricle, more out the pulmonary artery to the lungs. Episodes of extreme blue coloring (called hypercyanosis or simply "tet spells") occur in many children, usually in the first 2-3 years of life.

The child suddenly becomes blue, has difficulty breathing, and may become extremely irritable or even faint.

4 - A Claudication -Intermittent claudication is a tight, aching, or squeezing pain in the calf, foot, thigh, or buttock that occurs during exercise, such as walking up a steep hill or a flight of stairs. This pain usually occurs after the same amount of exercise, intensifies until exercise becomes impossible, and is relieved by rest.

Intermittent claudication is the main symptom of peripheral arterial disease. As the condition gets worse, leg pain may occur even at rest (rest pain or rest claudication). Medicines and procedures are available to treat this condition.

[GOMER42]

I think it is absolutely absurd that students come on here and ask for answers to questions- AND WE GIVE IT TO THEM!

If an instructor asks these questions, it is obviously somewhere in the materials provided to the student.

I am all for helping if the poster does more than types 4 take home quiz questions and posts a thread requesting answers-- she didn't even discuss them!

Ridiculous!!!

[NursingAgainstdaOdds]

Do. Your. Own. Homework.

[NursingAgainstdaOdds]

If one looks at the rest of the OP's posts, one will find the only way this individual "contributes" to the community is by fishing for answers to their homework questions. Lame.

[iluvivt, BSN, RN]

I did not have the Internet when I was a student long ago, I did it the hard way.....digging through my books and lectures and taking many a trip to the library. We are not doing future nurses any favors by spoon feeding them the answers. What will they do at the bedside when they need to make a quick decision....run to the net for help.....OMG...I hope not. There is a great sense of accomplishment and value in finding out the answers on your own and putting in the time....and if you mess up...there is learning in that too!!!!!!!! To this day, as a life long learner I still dig through all types of sources so that I can deliver the best care possible to my patients..a skill I perfected in Nursing School.