Health Assessment Exam 3 NSG3160 questions with complete solutions

Health Assessment Exam 3 NSG3160 questions
with complete solutions


1. What are the modifiable risks of CAD (coronary artery disease) - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx




Smoking, obesity, hypertension, high cholesterol, diabetes
cx cx cx cx cx




2. Does pain always mean cardiac reasons?
cx cx cx cx cx cx




What should you ask if patient is experiencing chest pain? - ans-NO - Is it sudden?
cx cx cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx




What brings it on?
cx cx cx cx




3. Signs of pulmonary embolism? - ans-
cx cx cx cx cx cxcx




Sharp, stabbing pain that worsens with deep breath
cx cx cx cx cx cx cx




4. Signs of pneumonia? - ans-Sharp, stabbing, but associated with a cough
cx cx cx cx cxcx cx cx cx cx cx cx




5. Signs of pneumothorax? - ans-Acute, sudden, sharp
cx cx cx cx cxcx cx cx




6. Signs of GI-related? - ans-Burning sensation with eating large meals
cx cx cx cx cxcx cx cx cx cx cx




7. What is S1 and what causes the sound? - ans-
cx cx cx cx cx cx cx cx cx cxcx




Start of systole and serves as a reference point for Oming of all cardiac sounds -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




Caused by the closure of AV valves - LUB (apex)
cx cx cx cx cx cx cx cx cx cx




8. What causes the sound of S2? - ans-Closure of the semilunar valves - DUB (base)
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx cx




9. What are summation sounds? - ans-
cx cx cx cx cx cxcx




When both the pathological S3 and S4 are present then a quadruple rhythm is heard
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




10. What is a murmur? - ans-Occurs with turbulent blood flow in the heart -
cx cx cx cx cx cxcx cx cx cx cx cx cx cx cx




Blowing, swooshing sound
cx cx cx




11. What is pericardial friction rub? - ans-
cx cx cx cx cx cx cxcx




Inflammation of the pericardium gives rise to friction rub - cx cx cx cx cx cx cx cx cx




High pitched and scratchy, heard with a diaphragm when a person is sitting up
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




12. What are the locations of the heart valves? - ans-Aortic: second right interspace -----
cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx




Pulmonic: second left interspace-------- Erbs: third left interspace-----
cx cx cx cx cx cx cx




Tricuspid: left lower sternal border -----
cx cx cx cx cx cx




Mitral: Fifth interspace around the left midclavicular line
cx cx cx cx cx cx cx cx




13. What should you do when you hear a split S2 and when does it occur? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx




Concentrate on the split as you watch the person's chest rise up and down with normal brea
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




thing---Every fourth heartbeat fading in with inhalation and fading out with exhalation
cx cx cx cx cx cx cx cx cx cx cx

, 14. What should you NOT do when hearing a split S2? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx




DO NOT have the person hold their breath-- Breath-
cx cx cx cx cx cx cx cx




holding only equalizes ejection times in the right and left sides of the heart and causes the s
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




plit to go away. cx cx cx




15. What is a thrill? - ans-Palpable vibration, feels like the throat of a purring cat
cx cx cx cx cx cxcx cx cx cx cx cx cx cx cx cx




16. What is a thrill caused by? - ans-
cx cx cx cx cx cx cx cxcx




Turbulent blood flow and directs you to locate the origin of loud murmurs
cx cx cx cx cx cx cx cx cx cx cx cx




18. What is apical impulse and how to assess it? - ans-
cx cx cx cx cx cx cx cx cx cx cxcx




Palpate left of the sternal border down the midclavicular line between the 4th and 5th interc
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




oastal space. cx




19. What position should you have a patient in when estimating jugular venous pressure? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




ans-45 degrees
cxcx cx




20. How much exercise should you teach your patient? - ans-
cx cx cx cx cx cx cx cx cx cxcx




5 times a week, at least 30 minutes each time
cx cx cx cx cx cx cx cx cx




21. Why should patients take low-dose aspirin every day? - ans-Control BP
cx cx cx cx cx cx cx cx cx cxcx cx




22. What should you teach if the patient smokes? - ans-
cx cx cx cx cx cx cx cx cx cxcx




Teach about smoking cessation and exercise
cx cx cx cx cx




23. What are key expected findings - ans-cardiac-
cx cx cx cx cx cx cxcx




wise, in an older patient?, Increase in systolic pressure from arteriosclerosis -
cx cx cx cx cx cx cx cx cx cx cx




The presence of supraventricular dysrhythmias increases -
cx cx cx cx cx cx cx




EEG from changes in the conduction system - OrthostaOc hypotension
cx cx cx cx cx cx cx cx cx cx




24. What do you want to educate an older patient about? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx




Take their time when moving from sitting to supine and from sitting to standing positions du
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




e to orthostatic hypotension - Put call light on to have staff help get up to prevent falls
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




25. What is arteriosclerosis? - ans-Thickening/
cx cx cx cx cxcx




stiffening of arteries caused by collagen and calcium deposits, loss of elasticity
cx cx cx cx cx cx cx cx cx cx cx




26. How should you assess carotid pulse? - ans-
cx cx cx cx cx cx cx cxcx




One at a time to avoid having the patient pass out.
cx cx cx cx cx cx cx cx cx cx




27. What is a pulse deficit and how do you figure it out? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx




Difference from apical and radial pulse = pulse deficit & Irregularity cx cx cx cx cx cx cx cx cx cx




What are the aggravating and relieving factors of chronic arterial (PAD)? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx




a. Aggrivating - activity, elevation
cx cx cx cx