Advanced Health Assessment Exam 2 Review Questions & Answers

The nurse should use the bell of the stethoscope during auscultation of: A. a client's heart murmur B. a client's apical heart rate C. a client's breath sounds D. a client's bowel sounds {Ans: A. a client's heart murmur The bell of the stethoscope is used to listen to low-pitched sounds, such as heart murmurs. The diaphragm of the stethoscope is used to listen to high-pitched sounds such as normal heart sounds, breath sounds, and bowel sounds.}The nurse enters the room of an older adult client diagnosed with Alzheimer disease to perform a head-to-toe assessment. What assessment findings by the nurse are reflective of the normal signs of aging? Select all that apply. A. Decreased near vision B. Decreased facial hair C. Increased gag reflex D. Increased systolic and diastolic BP E. Decreased tissue elasticity F. Increased mental confusion {Ans: A. Decreased near vision D. Increased systolic and diastolic BP E. Decreased tissue elasticity Decreased near vision (presbyopia), increased systolic and diastolic blood pressure, and decreased tissue elasticity are normal signs of aging. Decreased facial hair, increased gag reflex, and increased mental confusion are not normal signs of aging.}Upon assessment of a client with myasthenia gravis, the nurse