NURS 487 Midterm #1 Exam | Questions & 100% Correct Answers (Verifi

Inspect, palpate, auscultate, percuss, smell : IPAP-S Jugular vein distention (JVD) : - increased right side heart pressure Cardiovascular objective assessment : - IPAP-S - neck vessels - blood pressure - pulse - precordium (heart sounds) Pallor : - grey/white appearance Cyanosis : - blue - lack of oxygen Mottling 2 | P a g e : - sign of poor perfusion Clubbing : - sign of chronic hypoximia Splinter hemorrhages : - sign of infective endocarditis Heave or lift : - sustains thrusting of ventricle during systole - appears on the 4th or 5th IC space Thrill : - palpable - associated with murmurs and extra heart sounds S1 : - loudest at apex of heart - best heard with diaphragm - first heart sound - closure of tricuspid and mitral valves - beginning of systole S2 : - loudest at base of heart - best heard with diaphragm - second heart sound 3 | P a g e - closure of aortic and pulmonic valves - beginning of diastole Aortic valve : - best heart with diaphragm - between aorta and left ventricle Pulmonic valve : - best heard with diaphragm - between pulmonary artery and right ventricle Tricuspid valve : - best heard with diaphragm - between right atrium and right ventricl