When palpating the patient's popliteal pulse, the nurse feels a vibration at the site. How should the nurse record this finding?

Correct Answer: D

Rationale: The correct answer is D: Thrill of the popliteal artery. A thrill is a vibration felt over a turbulent blood flow, indicating an abnormality like a narrowing or blockage in the artery. When palpating the popliteal pulse, feeling a vibration suggests the presence of a thrill, indicating a potential vascular issue. A: Thready, weak pulse - This choice does not describe the sensation of vibration felt with a thrill. B: Bruit at the artery site - A bruit is a whooshing sound heard over an artery due to turbulent blood flow, not a vibration felt during palpation. C: Bounding pulse volume - This choice describes a strong, forceful pulse, not a vibration felt with a thrill. In summary, the correct choice, D, is supported by the presence of a vibration indicating a thrill, while the other choices do not align with the specific finding of a vibration felt during palpation of the popliteal pulse.

Correct Answer: B

Rationale: The correct answer is B: Increased cardiac workload with aortic stenosis. In aortic stenosis, the heart has to work harder to pump blood against the narrowed valve, leading to increased oxygen demand. This results in myocardial ischemia due to the imbalance between oxygen demand and supply. A: Hypovolemia or anemia may decrease oxygen supply but do not directly increase oxygen demand. C: Narrowed coronary arteries from atherosclerosis decrease oxygen supply but do not directly increase oxygen demand. D: Angina in the patient with atherosclerotic coronary arteries indicates decreased oxygen supply but does not directly increase oxygen demand.

Correct Answer: C

Rationale: The correct answer is C because transmyocardial laser revascularization (TMR) involves using a laser to create channels between the left ventricular cavity and coronary circulation, improving blood flow to ischemic areas. This procedure is used to treat refractory angina in patients who are not candidates for traditional revascularization procedures. A is incorrect as TMR does not involve using a structure to hold vessels open. B is incorrect as TMR does not necessarily require anticoagulation following the procedure. D is incorrect as TMR does not involve the surgical construction of new vessels. In summary, TMR involves creating channels with a laser to improve blood flow, making option C the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Arterial aneurysm. Aneurysms are abnormal bulges or ballooning in the walls of arteries. They can occur in any artery in the body. Arterial aneurysms are the most common type and can be further classified based on their shape and location. Venous aneurysms (B) occur in veins, not arteries. Dissecting aneurysms (C) involve a tear in the inner layer of the artery wall, causing blood to flow between the layers. Fusiform aneurysms (D) are a type of arterial aneurysm characterized by a uniform dilation of the entire circumference of the artery.

Correct Answer: C

Rationale: The correct answer is C (Both A and B) because Jones criteria for the diagnosis of Rheumatic fever include carditis (inflammation of the heart) and erythema marginatum (a skin rash). Carditis is a major criteria and erythema marginatum is a minor criteria. Therefore, both A and B are essential components of the Jones criteria for diagnosing Rheumatic fever. Choice A (Carditis) alone is incorrect as it does not encompass the full criteria, and Choice B (Erythema marginatum) alone is also incorrect as it is just a minor criteria. Choice D (None of the above) is incorrect as the correct answer is a combination of both carditis and erythema marginatum.