NUR 216 Exam (Cardiovascular) – Questions & A+ Answers
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (40)
What tools will you need for the Stethoscope
cardiovascular assessment Doppler
Watch with seconds hand
Penlight
it is difficult to isolate "aging process" of lifestyle, habits and diseases.
cardiovascular system, per se, because it is
so closely interrelated with________, ____________ &
_________
Influences on coronary artery diseases: Lifestyle, smoking, diet, alcohol use, exercise patterns, and
stress have an influence on coronary artery disease
What is left to be attributed to aging With aging, there is an increase in systolic BP due to
process alone? thickening and stiffening of the arteries
Left ventricular wall becomes thicker but the overall size of
the heart does not change
Pulse pressure increases
No change in resting heart rate or cardiac output at rest
Ability of heart to augment cardiac output with exercise is
decreased
Some older adults experience orthostatic hypotension
Tachyarrhythmias may not be tolerated as Myocardium thicker and less compliant, and early diastolic
well in older people because: filling impaired at rest
Thus, may not tolerate a tachycardia as well because of
shortened diastole
Cardiovascular disease increases in age, Hypertension and heart failure also increase with age
what else increases?:
How do you reduce risk of death from Increasing physical activity
cardiovascular diseases and respiratory
illnesses in older adults?
in an aging adult increased SBP because: Blood vessels thicken/harden
an aging adult has Increased pulse pressure Difference between the systolic BP and the diastolic BP
because:
, Although all adults have some potential Hispanics have a lower mortality rate from heart disease than
CVD risk, some groups, defined by race, non-Hispanics
ethnicity, gender, socioeconomic status, and Middle-aged whites have the highest incidence of CAD
educational level carry an excess burden of African Americans have an earliest onset and highest severity
CVD what are they: Native Americans under age 35 2x the mortality rate from
heart disease than others
subjective data for cardiac assessment: Any chest pain/tightness: Onset, duration, location, character,
and aggravating factors, Any SOB?, Cough, fatigue- could be
decreased CO, orthopnea, Cyanosis or pallor, Nocturia-
voiding at night, Edema, Cardiac history or medications (HTN,
high cholesterol, etc)
Family hx, Cardiac risk factors? What are they?, Dizziness or
fainting?, Smoking, alcohol, drug use?, Exercise and dietary
habits?
assessment- objective: What is the order of Inspection, palpation, (percussion-not done on a
assessment for the cardiovascular system? cardiovascular assessment) and auscultation
Assessment inspection of jugular veins: -Jugular veins-HOB 35-45 degrees to assess for JVD (in right
sided heart failure)
-Look for pulsations of internal jugular veins in area of
suprasternal notch or around origin of sternomastoid muscle
around clavicle
-Expected: no distention and visible pulsation
in the carotid area
-Unexpected: full, bulging and bounding jugulars
on one or both sides of neck can indicate
right-sided heart failure
Absence of pulsation in the carotid artery = decrease in the force of blood flow
inspection and palpation: Apical pulse or 5th ICS left of sternal border, midclavicular
point of maximal impulse (PMI) is found May need to displace breast tissue
where?
Palpate for pulsations: -Heaves or lifts are unexpected
-visible elevation of chest wall
Could indicate heart failure
Thrills are an __________ finding unexpected
-Use palm of hand to feel for vibration
-thrill is Like a purring cat
thrills could indicate: a murmur related to turbulent blood flow
Forceful thrusting in the PMI area is a Unexpected
___________ finding.
Symmetrical chest movements with visible expected
gentle pulsations in the PMI area is a
___________ finding
Inspect the overall skin tones and symmetry -Skin color
of size of each limb bilaterally. Check for: -Temperature
-Nails - capillary refill
Palpate the pulses if unable to use what? a doppler
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (40)
What tools will you need for the Stethoscope
cardiovascular assessment Doppler
Watch with seconds hand
Penlight
it is difficult to isolate "aging process" of lifestyle, habits and diseases.
cardiovascular system, per se, because it is
so closely interrelated with________, ____________ &
_________
Influences on coronary artery diseases: Lifestyle, smoking, diet, alcohol use, exercise patterns, and
stress have an influence on coronary artery disease
What is left to be attributed to aging With aging, there is an increase in systolic BP due to
process alone? thickening and stiffening of the arteries
Left ventricular wall becomes thicker but the overall size of
the heart does not change
Pulse pressure increases
No change in resting heart rate or cardiac output at rest
Ability of heart to augment cardiac output with exercise is
decreased
Some older adults experience orthostatic hypotension
Tachyarrhythmias may not be tolerated as Myocardium thicker and less compliant, and early diastolic
well in older people because: filling impaired at rest
Thus, may not tolerate a tachycardia as well because of
shortened diastole
Cardiovascular disease increases in age, Hypertension and heart failure also increase with age
what else increases?:
How do you reduce risk of death from Increasing physical activity
cardiovascular diseases and respiratory
illnesses in older adults?
in an aging adult increased SBP because: Blood vessels thicken/harden
an aging adult has Increased pulse pressure Difference between the systolic BP and the diastolic BP
because:
, Although all adults have some potential Hispanics have a lower mortality rate from heart disease than
CVD risk, some groups, defined by race, non-Hispanics
ethnicity, gender, socioeconomic status, and Middle-aged whites have the highest incidence of CAD
educational level carry an excess burden of African Americans have an earliest onset and highest severity
CVD what are they: Native Americans under age 35 2x the mortality rate from
heart disease than others
subjective data for cardiac assessment: Any chest pain/tightness: Onset, duration, location, character,
and aggravating factors, Any SOB?, Cough, fatigue- could be
decreased CO, orthopnea, Cyanosis or pallor, Nocturia-
voiding at night, Edema, Cardiac history or medications (HTN,
high cholesterol, etc)
Family hx, Cardiac risk factors? What are they?, Dizziness or
fainting?, Smoking, alcohol, drug use?, Exercise and dietary
habits?
assessment- objective: What is the order of Inspection, palpation, (percussion-not done on a
assessment for the cardiovascular system? cardiovascular assessment) and auscultation
Assessment inspection of jugular veins: -Jugular veins-HOB 35-45 degrees to assess for JVD (in right
sided heart failure)
-Look for pulsations of internal jugular veins in area of
suprasternal notch or around origin of sternomastoid muscle
around clavicle
-Expected: no distention and visible pulsation
in the carotid area
-Unexpected: full, bulging and bounding jugulars
on one or both sides of neck can indicate
right-sided heart failure
Absence of pulsation in the carotid artery = decrease in the force of blood flow
inspection and palpation: Apical pulse or 5th ICS left of sternal border, midclavicular
point of maximal impulse (PMI) is found May need to displace breast tissue
where?
Palpate for pulsations: -Heaves or lifts are unexpected
-visible elevation of chest wall
Could indicate heart failure
Thrills are an __________ finding unexpected
-Use palm of hand to feel for vibration
-thrill is Like a purring cat
thrills could indicate: a murmur related to turbulent blood flow
Forceful thrusting in the PMI area is a Unexpected
___________ finding.
Symmetrical chest movements with visible expected
gentle pulsations in the PMI area is a
___________ finding
Inspect the overall skin tones and symmetry -Skin color
of size of each limb bilaterally. Check for: -Temperature
-Nails - capillary refill
Palpate the pulses if unable to use what? a doppler
