Maryville NURS 612 Exam 2 Questions & Answers latest updated version

Maryville NURS 612 Exam 2 Questions & Answers latest updated version midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? - ANSWER -Aortic stenosis If you are assessing a skin lesion and it feels rubbery, what do you think of it? - ANSWER -cyst If you have a patient that comes in to the clinic with cellulitis, what are some of the things that you are going to look for and decide to send the patient to the ED - ANSWER -failed oral antibx, risk factors such as immunocomprimised What is the #1 thing that you want to ask your patient with any kind of skin disorder - ANSWER -Hx of IV drug use What will you see when assessing cellulitis - ANSWER -redness, warmth, weeping How do you examine tinea infections - ANSWER -woods lamp HPI questions for pt with rash - ANSWER -1. have you used any new detergents, soaps, or lotions 2. have you been in contact with someone with same rash differential dx for patient that comes in with swollen neck lymph nodes - ANSWER -ear or throat infections While auscultating the heart of an obese patient, the examiner should expect the heart sounds to be? - ANSWER -Softer and more distant Spitting of S2 is best heard where - ANSWER -Pulmonic region S3 - what does it sound like and indicate? - ANSWER -Apex; Kentucky; systolic dysfunction/ventricular overload (i.e. CHF) S3 and S4 is best heard where? - ANSWER -Apex What does S4 sound like and indicate? - ANSWER -Tennessee; diastolic dysfunction (poor control HTN, recurrent Myocardial ischemia what causes murmurs - ANSWER -Caused by some disruption of blood flow, through, or out of the heart. Diseased valves are a common cause, not opening or closing well. Dextrocardia is characterized by? - ANSWER -The heart positioned to RT, either rotated or displaced Unable to palpate apical pulse & heart sounds are very faint what to consider - ANSWER -pleural or pericardial fluid Pt reports several week history of fever and shows symptoms of CHF - ANSWER -bacterial endocarditis Findings consistent with pulmonary HTN - ANSWER -decreased intensity of S1; increased intensity of S2 S1 ↓ S2 ↑ Where are the apical impulses visible at? - ANSWER -Midclavicular line 5th IC space A heave is identified with lateral displacement of apical pulse indicating - ANSWER -Left Vent enlargment A thrill genterally indicates what? - ANSWER -Disruption of blood related to defect in semilunar valve closure/ arterial sclerosis left ventricular size is more accurately determined by? - ANSWER -locating apical pulse What may be easily mistaken for cardiac sounds - ANSWER -Pericardial friction rub 1. Cardiac Tamponade is? - ANSWER -exessive fluid between pericardium and myocardium What report by a patient would suggest compromised cardiac output - ANSWER "I've been so tired lately i go straight to bed when i get home" Which principle helps determine where the heart sounds are best heard - ANSWER -sounds are transmitted in direction of blood flow Splitting of heart sounds is greatest at? - ANSWER -the peak of inspiration To hear low-pitched filling sounds of the heart how should the pt be placed - ANSWER -left lateral recumbent position with bell of stethascope Common cardiac findings among older adults includes - ANSWER -apical pulse is more difficult to locate Why is the carotid artery is considered the most suitable artery for evaluation of cardiac function because it - ANSWER -accessibility and close to heart purpose of the great vessel - ANSWER -a. Circulate blood to and from heart and lungs When dorsiflexion of foot causes pain it is considered a positive _____ and indicates ______ - ANSWER -Homan's sign; DVT Atherosclerosis, anemia, anxiety, and exercise are associated most with which type of arterial pulse? - ANSWER -Bounding pulse