Practice Quiz

CNOR Operating Room Nursing

Category - Preop

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The nurse is performing a preoperative assessment on a patient and notes that they have a heart murmur. When assessing intensity of a cardiac murmur, what question should the nurse ask themself?
  1. Does the murmur occur during systole or diastole?
  2. How loud is the murmur?
  3. In what area of the chest is the murmur heard?
  4. Does the murmur produce any additional sounds?
Explanation
Answer: B-When assessing intensity of a cardiac murmur, the nurse should ask themself how loud is the murmur? Intensity measures the volume of the murmur and is typically graded from a very soft, grade I murmur to a loud grade VI. The nurse can identify the intensity of the murmur by auscultating with a stethoscope and then notifying the physician of their findings.
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