Nr 509 Week 4 Quiz A Guaranteed

Week 4 Quiz Study Material NR 509 | Detailed Answer Review which is true of a third heart sound (S3)? - answer - caused by deceleration of blood against ventricular wall a fellow student asks you how to distinguish jugular venous pulsation (JVP) from a carotid pulse? Which characteristic is typical of the carotid pulse? - answer - palpable and height unchanged by inspiration jugular venous pulsation (JVP) - answer - rarely palpable, usually has soft biphasic undulating quality and eliminated by light pressure on the veins just above the sternal end of the clavicle. the height of the pulsations changes with positions, normally dropping as the client becomes more upright. height of pulsations usually falls with inspiration. right sided heart pressures and volume status normal 6-8 cm carotid pulsation - answer - generally palpable and have a more vigorous thrust with a single outward component. pulsations are not eliminated by pressure on the veins at the sternal end of the clavicle and the height of pulsations is unchanged by position or inspiration alarming findings in health history for cardiovascular disease - answer - chest pain, palpitations, dyspnea, orthopnea, diaphoresis, abnormal vital signs, nausea/vomiting, pitting edema, leg pain, paroxysmal nocturnal dyspnea, and pulmonary edema alarming findings in health history for CVD- chest pain - answer - associated symptoms (diaphoresis, nausea, anxiety, palpitations), and pain details (PQRST) alarming findings in health history for CVD- changes in respirations - answer - dyspnea, orthopnea, bendopnea, paroxysmal nocturnal dyspnea, pain details alarming findings in health history for CVD- peripheral vascular findings - answer - edema, pain in legs with activity, numbness, tingling or swelling in calves, legs, feet, skin changes alarming findings in health history for CVD- history and activity - answer - heart disease, hypertension, MI, obesity, diabetes, bleeding disorders, prolonged positioning, diet, smoking, substance or alcohol use alarming findings in health history for CVD- physical findings - answer - height, weight, BMI trends, vital signs, heart and lung sounds heart fluttering - answer - palpitations or irregular heartbeat exertional dyspnea - answer - ischemia or heart failure requiring 3 pillows at night - answer - orthopnea due to heart failure "blacking out" - answer - ischemia with exertion pitting edema - answer - heart failure or peripheral vascular insufficiency frothy white sputum - answer - fluid in the lungs or pulmonary edema related to heart failure aortic dissection - answer - lower back pain, sudden and sharp typical presentation of ischemic chest pain - answer - dull heavy or crushing may present in back or jaw atypical presentation of ischemic chest pain - answer - stabbing, burning, or characteristic of indigestion, pressure, tightness, shortness of breath, extreme fatigue with physical activity more common in women and older adults abnormalities in JVP - answer - afib, tricuspid regurgitation or stenosis, pulmonary artery hypertension, pulmonic stenosis, cardiac tamponade point of maximal impulse (PMI) - answer - palpated in the 5th intercostal space midclavicular line. displacement may indicated cardiomegaly trills palpated here can be due to loud murmurs heart sounds- aortic - answer - second intercostal space, right sternal border heard during S2 heart sounds- tricuspid - answer - 4th intercostal space left sternal border heard during S1 heart sounds- mitral - answer - 5th intercostal space midclavicular line heard during S1 heart sounds- pulmonary - answer - second intercostal space, left sternal border heard during S2 auscultation of carotid arteries - answer - during deep inspiration, using the diaphragm. allows for differentiation of murmurs from bruits. bruits are due to the narrowing of the arteries murmurs - answer - valvular related and originate in the heart heart percussion - answer - determine the m