NURS 190 Physical Assessment Quiz 4

NURS 190 Physical Assessment Quiz 4 PA Quiz 4: -ECG, EKG (Electrocardiogram ECG) -Electrical representation of the cardiac cycle -Paper recording of deflections that represent the cardiac cycle -It involves PQRST waves -highest incidence, ethnicity for hypertension- ETHNICITY African Americans and Hispanics are the highest -Magnitude pulses- table (0-5): Assessing Peripheral Pulses 0- Absent or non palpable 1- Weak 2- Normal 3- Increased 4- Bounding -Precaution and complication of mastectomy (picture) lymphedema Don’t take BP or IV or anything on the affected side or arm -****how to assess apical pulse in regard to pulse deficit (not sure, I got the answer from ATI) To assess for a pulse deficit, you will need another healthcare worker. One person assesses the peripheral pulse rate while the other person assesses the apical pulse rate. Compare the two rates; the difference between the two is the pulse deficit, which reflects the number of ineffective cardiac contractions in 1 minute. If you find a pulse deficit, assess the patient for other signs and symptoms of decreased cardiac output, such as dyspnea, fatigue, chest pain, and palpitations. -What is a thrill? -Thrills are soft vibratory sensations best assessed with fingertips or the palm flattened on the chest -point of maximum impulse