Which of the Following Assessment Information Obtained by the Nurse

question 16

Multiple Choice

Which of the following assessment information obtained by the nurse for a client with aortic stenosis is most important to report to the health care provider?

• A)The client complains of chest pain associated with ambulation.
• B)A loud systolic murmur is audible along the right sternal border.
• C)A thrill is palpable at the 2nd intercostal space, right sternal border.
• D)The point of maximum impulse (PMI) is at the left midclavicular line.

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Definitions:

Olfactory Receptors

Specialized nerve cells in the nose involved in the sense of smell.

Audition

The perception or action of listening.

Vestibular Sense

A sensory system located in the inner ear that contributes to balance and spatial orientation by detecting changes in motion and gravitational forces.

Kinesthesis

The sense that detects body position, movement, and balance, often referred to as the sense of muscular movement.