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Exam (elaborations)

NSG 316 Exam 3 – Questions With Right Solutions

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NSG 316 Exam 3 – Questions With Right Solutions

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NSG 316 Exam 3 – Questions With Right Solutions

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Practice questions for this set


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ulcers on the toes



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1 Myocardium 2 duration



3 chronic arterial deficit causes 4 heart failure



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Terms in this set (144)


heart muscle that surrounds ventricles and atrium
Myocardium
Atria are thinner as they need to pump less strong

pericardium external layer that protects heart from injury/infection

endocardium 3 layered membrane that lines heart chambers

blockage of coronary arteries heart attack or stroke
can lead to

increased pressure of cardiac overload
heart failure -pulm congestion
-inc amount of blood in pulm capillaries

Left sided heart failure dyspnea/SOB, pulmonary edema

right sided heart failure blood back up in the periphery and will present with edema

abnormal enlargement of the heart due to over working to
cardiomegaly
compensate for decreased function

frequency high pitched or low pitched

what should you use the high pitched, normal sounds
diaphragm of a stethoscope for

, what should you use the bell of low pitched, abnormal heart sounds, murmurs
a stethoscope for

intensity/loudness loud or soft

duration short heart sounds, or silent periods

timing systole or diastole

carotid artery/pulse found in the neck. feel one at a time. S1 is felt

what is the most diminished pedal pulse
pulse in the aging adult

normal heart sounds S1 and S2

-occurs with closure of mitral and tricuspid valves (AV valve)
S1 heart sound -"lub" sound
-loudest at apex (5th intercostal space at midclavicular line)

-occurs with closure of aortic and pulmonic valves (semilunar
valves)
S2 heart sound
-"dub" sound
-loudest at base of heart (2nd intercostal space)

abnormal heart sounds S3 and S4 sounds, murmurs, and bruits

-not usually heard
-gallop sound
S3 heart sounds
-indication of HF
-occurs with ventricular resistance of filling

-create vibrations
S4 heart sounds -can be heard right before S1 sound
-occurs at end of diastole when ventricles resist filling

-from turbulent blood flow
murmurs -heard directly over heart
-gentle blowing/swooshing sound

1-3: no thrill
4: feel thrill
murmur loudness scale 5-6: feel and hear thrill
5: hear thrill through stethoscope
6: can hear thrill without stethoscope

timing of murmur early, middle, late, systole/diastole (S1/S2)

murmur pitch high, medium, low

murmur pattern grows louder or softer

murmur quality musical, flowing, harsh

murmur location valve/space it is heard at

murmur radiation down with blood flow

murmur posture disappear/enhance with different pos.

-heard in between S1 and S2
systolic murmur
-Mitral/Tricuspid stenosis/regurgitation, mitral valve prolapse

-heard between S2 and S1
diastolic murmur
-Atrial/pulmonic stenosis/regurgitation

bruits swishing sound heard over arteries

Timing closely coincides with ventricular systole. Document wave
carotid artery
form. Should be sitting with assessment

look for pulsations, distinguish between internal jugular and
jugular veins
carotid artery as they can be easily confused

-sustained forceful thrusting of ventricle during systole
heave/lift -obvious/visible movement of chest
-felt best with heal of hand at sternal border

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