NURS202 NURSING IV ACTUAL
QUESTIONS AND CORRECT
ANSWERS AUGUST SUMMER
FINAL EXAMS GRADED A PLUS
UNVERSITY OF FLORIDA.
What valves are closing on S1
tricuspid and mitral at the starting of systole (LUB-dup, heard at
the apex)
What valves are closing on S2
Pulmonic and aortic at the end of systole (Lup-DUP, heard at the
base)
What are murmurs?
Blowing sound from turbulent blood flow, frequently found with a
thrill. (3 types: innocent, functional, pathological)
,Murmur characterisitcs
Timing, loudness, pitch, pattern, quality, location, radiation,
posture
Third heart sound (S3)
Very subtle. Soft, dull, low-pitched after S2. Ventricles resistant to
filling (CHF). Normal in children/young adults, pathological in
older adults.
Fourth heart sound
Very soft, low-pitched, just before S1. Atria contact against
resistant ventricles (CHF, MI), may be normal in adults after
exercise.
Other extra heart sounds
Summation Gallop (S4, S1, S2, S3 together), pericardial friction
rub
,Peripheral vascular developmental considerations
Infants/children- larger lymph nodes
Aging adult- arteriosclerosis, calf veins enlargement, lymph nodes
decrease in size and number
Subjective questions for peripheral vascular assesment
Leg pain or cramps, skin changes on arms & legs, edema, lymph
node enlargement, medications (esp. blood thinners), occupation,
recent travel (increased risk for blood clots due to pooling in legs
from sitting on plane for long time), recent surgery (blood thinner,
loss of blood volume, risk of infection, decreased physical activity
therefore decreased blood flow)
What is profile sign?
The angle between the nail plate and skin. Angle of more than 180
means clubbing: consequence of some heart disease, CHF, chronic
arthritic. Occurs because fingers are not getting enough O2 causing
the nail beds to flatten.
Risk factors for DVT
, bedrest, immobility, surgery
Signs/Symptoms of DVT
redness, swollen, painful calf
Prevention of DVT
Encourage mobility if able. Compression stocking, SC heparin
Edema scale
1+ mild, slight indentation
2+ moderate
3+ deep pitting, swollen leg
4+ very deep, leg very swollen
What is the function of the sinuses
Provide voice resonance, lightens weight of skull
QUESTIONS AND CORRECT
ANSWERS AUGUST SUMMER
FINAL EXAMS GRADED A PLUS
UNVERSITY OF FLORIDA.
What valves are closing on S1
tricuspid and mitral at the starting of systole (LUB-dup, heard at
the apex)
What valves are closing on S2
Pulmonic and aortic at the end of systole (Lup-DUP, heard at the
base)
What are murmurs?
Blowing sound from turbulent blood flow, frequently found with a
thrill. (3 types: innocent, functional, pathological)
,Murmur characterisitcs
Timing, loudness, pitch, pattern, quality, location, radiation,
posture
Third heart sound (S3)
Very subtle. Soft, dull, low-pitched after S2. Ventricles resistant to
filling (CHF). Normal in children/young adults, pathological in
older adults.
Fourth heart sound
Very soft, low-pitched, just before S1. Atria contact against
resistant ventricles (CHF, MI), may be normal in adults after
exercise.
Other extra heart sounds
Summation Gallop (S4, S1, S2, S3 together), pericardial friction
rub
,Peripheral vascular developmental considerations
Infants/children- larger lymph nodes
Aging adult- arteriosclerosis, calf veins enlargement, lymph nodes
decrease in size and number
Subjective questions for peripheral vascular assesment
Leg pain or cramps, skin changes on arms & legs, edema, lymph
node enlargement, medications (esp. blood thinners), occupation,
recent travel (increased risk for blood clots due to pooling in legs
from sitting on plane for long time), recent surgery (blood thinner,
loss of blood volume, risk of infection, decreased physical activity
therefore decreased blood flow)
What is profile sign?
The angle between the nail plate and skin. Angle of more than 180
means clubbing: consequence of some heart disease, CHF, chronic
arthritic. Occurs because fingers are not getting enough O2 causing
the nail beds to flatten.
Risk factors for DVT
, bedrest, immobility, surgery
Signs/Symptoms of DVT
redness, swollen, painful calf
Prevention of DVT
Encourage mobility if able. Compression stocking, SC heparin
Edema scale
1+ mild, slight indentation
2+ moderate
3+ deep pitting, swollen leg
4+ very deep, leg very swollen
What is the function of the sinuses
Provide voice resonance, lightens weight of skull
