Water-hammer pulse is what the nurse would find when assessing patient with chronic aortic regurgitation in the emergency unit of a health care facility.
A strong, quick beat which collapses immediately is a water hammer pulse. Heart sounds may include a soft or absent S1, S3, or S4 and a soft, high-pitched diastolic murmur.
Chronic aortic regurgitation is a condition in which heart's aortic valve does not close tightly. It is caused by two common causes i.e., rheumatic heart disease and bacterial endocarditis. To treat this condition, a surgery is needed to replace the diseased aortic valve with a mechanical valve.
There are four stages for aortic regurgitation: at risk, asymptomatic with progressive aortic regurgitation, asymptomatic with severe aortic regurgitation, symptomatic with aortic regurgitation.
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A - Vessels serving the head and upper limbs
B - Vessels serving the body trunk and lower limbs
C - Vessels serving the viscera
D - Pulmonary Circulation
E - Pulmonary "Pump"
F - Systemic "Pump"
Explanation:
Please find the labelled diagram attached with the post.
From the right atrium through the tricuspid valve to the <u>right ventricle </u> through the <u>pulmonary semilunar </u> valve to the pulmonary trunk to the right and left <u>pulmonary arteries,</u> to the capillary beds of the <u>lungs</u>, to the <u>pulmonary veins</u>, to the <u>left atrium</u> of the heart through the <u>bicuspid (mitral)</u> valve, to the<u> left ventricle</u> through the <u>aortic</u> semilunar valve, to the <u>aorta</u>, to the systemic arteries, to the <u>capillaries</u> of the body tissues, to the systemic veins, to the <u>superior vena cava</u> and <u>inferior vena cava</u>, which enter the right atrium of the heart.
Answer:
comprehensive positive psychology.
A nurse hears adventitious lung sounds while auscultating a client’s lung fields, so the action which the nurse should take is have the client cough and listen again.
Adventitious lung sounds confer with sounds that are detected additionally to the expected breath sounds mentioned higher than. The foremost ordinarily detected accidental sounds embody crackles, rhonchi, and wheezes.
If abnormalities are noted throughout lung hearing, the nurse ought to have the shopper cough so listen once more, noting any modification. Coughing could clear the lungs. If the sounds are still there while coughing, then the nurse would refer the shopper for more analysis. Auscultating voice sounds (egophony and bronchophony) would be done as a part of any assessment of the thorax.
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The situation which would require immediate intervention by the nurse is C. Client in soft wrist restraints in the supine position.
<h3 /><h3>What is a restraint?</h3>
Restraints are devices that limit a patient's movement and keep a person from getting hurt or doing harm to others or caregivers.
Hence, we can see that the immediate intervention in this situation for the nurse is to use a soft wrist restraint on the client who is in a supine position.
The other situations cannot be an immediate intervention because the other positions are not suitable for an immediate restraint.
Note that restraints are usually jackets or vests and are used as a last resort.
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The complete question
The charge nurse is rounding on clients in restraints. Which of the following situations would require immediate intervention by the nurse?
1.Client in a belt restraint in the semi-Fowler position
2.Client in mitten restraints in the side-lying position
3.Client in soft wrist restraints in the supine position
4.Client in vest restraint in the high-Fowler position