NURS 222 Quiz 3 Questions and Answers| New Update with 100% Correct Answers
palpating blood pressure assess systolic blood pressure by palpation
diastolic blood pressure NOT determined by palpation
useful in patients whose arterial pulsations too weak
palpation BP measurement position cuff 2.5 cm above palpated brachial artery
palpate radial artery while inflating cuff, systolic pulse pressure when radial pulse disappears
deflate cuff
palpate radial artery while inflating cuff to 30mmHg above point where pulse disappears
deflate cuff slowly and note pressure where radial pulse returns (this is palpated systolic BP)
assessment technique for heart assessment inspection
palpation
auscultation
with stethoscope
heart auscultation landmark 2nd intercostal space to 5th intercostal space
5th intercostal space = apex
dome of diaphragm
suprasternal notch
sternum
auscultation areas aortic area
pulmonic area
erb's point
tricuspid area
mitral area
, APE To Man
aortic valve area Second right intercostal space at the right sternal border
pulmonic valve area second left intercostal space at left sternal border
erb's valve area third left intercostal space
tricuspid valve area fourth intercostal space
left lower sternal border
mitral/apical valve area fifth intercostal space
left midclavicular line
S1 heart sounds "lub" sound from closure of AV valve
beginning of systole
loudest at apex of heart
S2 heart sounds "dub"s sound from closure of semilunar valves (aortic and pulmonary
valves)
starts diastole
loudest at base of heart
measuring apical pulse Listen for S1 (lub) & S2 (dub) at the mitral area
5th intercostal space at midclavicular line
listen with stethoscope
palpating blood pressure assess systolic blood pressure by palpation
diastolic blood pressure NOT determined by palpation
useful in patients whose arterial pulsations too weak
palpation BP measurement position cuff 2.5 cm above palpated brachial artery
palpate radial artery while inflating cuff, systolic pulse pressure when radial pulse disappears
deflate cuff
palpate radial artery while inflating cuff to 30mmHg above point where pulse disappears
deflate cuff slowly and note pressure where radial pulse returns (this is palpated systolic BP)
assessment technique for heart assessment inspection
palpation
auscultation
with stethoscope
heart auscultation landmark 2nd intercostal space to 5th intercostal space
5th intercostal space = apex
dome of diaphragm
suprasternal notch
sternum
auscultation areas aortic area
pulmonic area
erb's point
tricuspid area
mitral area
, APE To Man
aortic valve area Second right intercostal space at the right sternal border
pulmonic valve area second left intercostal space at left sternal border
erb's valve area third left intercostal space
tricuspid valve area fourth intercostal space
left lower sternal border
mitral/apical valve area fifth intercostal space
left midclavicular line
S1 heart sounds "lub" sound from closure of AV valve
beginning of systole
loudest at apex of heart
S2 heart sounds "dub"s sound from closure of semilunar valves (aortic and pulmonary
valves)
starts diastole
loudest at base of heart
measuring apical pulse Listen for S1 (lub) & S2 (dub) at the mitral area
5th intercostal space at midclavicular line
listen with stethoscope
