NURS 6512 Week 6 Quiz (Version 2)
• Question 1
On a CXR, which of the following is true of the diaphragm?
• Question 2
Which of the following statements is most accurate in describing hepatic jugular reflux?
Response
Feedback:
Hepatojugular reflux is used to evaluate right heart failure and is exaggerated when right heart failure is present. All patients will have elevation of the JVP with this maneuver, depending on the elevation of their head and their underlying venous pressure. Use your hand and apply firm pressure to the abdomen in the mid-epigastric region while the patient breathes regularly.Observe the neck for increased JVP followed by an abrupt fall in JVP when the hand pressure is released. The JVP quickly returns to its true level between the abdominal hand pressure and the release of the abdominal hand pressure.
• Question 3
Chest pain in a child with an organic cause is more likely the result of: 1 / 2
Response
Feedback:
Unlike chest pain in adults, children and adolescents seldom are caused by a cardiac problem. More likely the case is related to trauma, exercise- induced asthma, or cocaine use.
• Question 4
The American Thoracic Society suggests replacing the term rales with:
Response
Feedback:
The term rales is suggested to be replaced with crackles in order for the
term to more precisely describe the sound.
• Question 5
Heart position can vary depending on body habitus. In a short, stocky individual, you would
expect the heart to be located:
Response
Feedback:
The position of the heart varies depending on body build, configuration of the chest, and level of the diaphragm. A tall, slender person s heart tends to hang vertically and is positioned centrally. A stocky, short person s heart tends to lie more to the left and more horizontally.
• Question 6
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