NUR 602- Cardiovascular System Health Assessment
Chapter 16 Questions With Complete Solutions
Heart Diagram.
What are we palpating the carotid artery for?
regularity, similarity, don't palpate at the same time!!!,
eventually auscultate for bruits=blockage?listen with bell
What characteristics are we palpating for when examining
pulses?
symmetry, rate, rhythm, contour (should be smooth and wave-
like), strength
, How do you document pulse strength or amplitude?
+0 = absent, not palpable
+1 = diminished, barely palpable
+2 = normal
+3 = full, increased
+4 = bounding
What are some reasons a patients pulses are +0?
PVD, diminished blood flow
What are the 7 arterial arteries that can be palpated?
•Carotid, brachial, radial, femoral, popliteal, dorsalis pedis,
posterior tibial
What angle does a patient need to be reclining in order to inspect
and measure jugular venous pulse and pressure?
30-45 degrees
Elevated JVP is correlated with what?
Right heart failure
When palpating for edema in the extremities what are we
looking for?
•Palpate the extremities for warmth, pulse quality, tenderness
along any superficial vein
•Edema, pitting versus non-pitting
•Overlying skin characteristics
What is the scale for grading edema?
Chapter 16 Questions With Complete Solutions
Heart Diagram.
What are we palpating the carotid artery for?
regularity, similarity, don't palpate at the same time!!!,
eventually auscultate for bruits=blockage?listen with bell
What characteristics are we palpating for when examining
pulses?
symmetry, rate, rhythm, contour (should be smooth and wave-
like), strength
, How do you document pulse strength or amplitude?
+0 = absent, not palpable
+1 = diminished, barely palpable
+2 = normal
+3 = full, increased
+4 = bounding
What are some reasons a patients pulses are +0?
PVD, diminished blood flow
What are the 7 arterial arteries that can be palpated?
•Carotid, brachial, radial, femoral, popliteal, dorsalis pedis,
posterior tibial
What angle does a patient need to be reclining in order to inspect
and measure jugular venous pulse and pressure?
30-45 degrees
Elevated JVP is correlated with what?
Right heart failure
When palpating for edema in the extremities what are we
looking for?
•Palpate the extremities for warmth, pulse quality, tenderness
along any superficial vein
•Edema, pitting versus non-pitting
•Overlying skin characteristics
What is the scale for grading edema?
