The nurse is assessing a patient's heart sounds and hears a murmur that occurs during systole. What is the most likely cause of this finding?

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Vital Signs Assessment Quizlet Questions

Question 1 of 5

The nurse is assessing a patient's heart sounds and hears a murmur that occurs during systole. What is the most likely cause of this finding?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

When body temperature falls below 93.2 degrees Fahrenheit, the person is suffering from the extreme:

Correct Answer: B

Rationale: Hypothermia, is correct because a body temperature below 93.2°F indicates severe hypothermia, a life-threatening condition where the body loses heat faster than it produces it. Normal temperature is ~98.6°F; hypothermia begins below 95°F, and below 93.2°F is extreme, risking organ failure. Hyperthermia, is the opposite (elevated temperature). Orthopnea, is difficulty breathing when lying flat, unrelated to temperature. Dypsnea (likely misspelled dyspnea), is shortness of breath, a symptom not a condition here. Hypothermia triggers shivering, confusion, and slowed metabolism, and at 93.2°F, immediate warming is critical. Clinical definitions support B as the accurate term for this extreme low-temperature state.

Question 3 of 5

The nurse instructor is teaching student nurses about the factors that may affect a patients blood pressure. Which statements accurately describe these factors?

Correct Answer: B

Rationale: Blood pressure increases with age due to arterial stiffening, making A incorrect. Its typically lowest upon waking , reflecting circadian rhythms, making B correct. Women often have lower blood pressure than men pre-menopause due to hormonal differences, which is true. Blood pressure rises post-meal, not decreases (D replaced with original D). Its lower in prone/supine positions (E), and higher in African Americans (F), both accurate. Since the answer focuses on B, its supported by the morning dip in blood pressure, a well-documented physiological pattern. This teaches students key influences on blood pressure variability.

Question 4 of 5

What is the pulse pressure of a patient whose blood pressure is 132/82 mm Hg?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?

Correct Answer: D

Rationale: A pulse of 48 (bradycardia) with normal BP suggests a cause like medications. Calcium channel blockers or digitalis slow heart rate, a common side effect. Fever increases pulse. Hemorrhage lowers BP, not seen here. COPD doesn't typically cause bradycardia. Choice D is correct, per pharmacology and nursing assessment principles.

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