NUR2180 Module 10 Quiz

NUR2180 Module 10 Quiz Physical Assessment Module 10 Quiz Study Guide • Understand expected findings when you are auscultating the hear o There are two normal heart sounds that we call S1 and S2. As you listen to these two sounds, ask yourself are they are in a regular rhythm • Understand the order of assessment when auscultating the heart o The majority of the heart assessment is done by auscultation. You will use the diaphragm of the stethoscope for the slight higher pitched sounds and the bell for lower pitched. Closing your eyes allows you to concentrate more on the sounds that you hear. There are five main areas that are used for auscultation as four of these areas are where the sounds from each valve radiate to and are the loudest. The fifth site is like the halfway point where S1 and S2 are equal in intensity, called Erb’s point. There are many mnemonics that are utilized for remembering what the valve areas (Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral) are in a particular order so find one that works for you. o Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral • Know the location of the landmarks for the heart valves o Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral • Understand all of the SL and AV valves o The two atrioventricular (AV) valves, the mitral valve (bicuspid valve), and the tricuspid valve, which are between the upper chambers (atria) and the lower chambers (ventricles). The two semilunar (SL) valves, the aortic valve and the pulmonary valve, which are in the arteries leaving the heart. • Understand what S1, S2, S3, and S4 heart sounds are and where they are located o S1 and S2 are high-pitched and S3 and S4 are low-pitched sounds o S1 is the beginning of systole and also, remember that S1 will be loudest in the apical area (tricuspid and mitral valve areas). S2 is the second sound and is loudest at the base (aortic and pulmonic valve areas). At Erb’s point, tS1 and S2 will be equal in intensity. o S3 is a ventricular gallop heard in heart failure and fluid overload. S4 is an atrial gallop heard with coronary artery disease. • Know what Bruits, Hums, Rubs, and Murmurs are o Listen for a whooshing, blowing sound which