NURS 642 EXAM 2 review and key points Questions with Answers (100% Correct Answers)

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NURS 642 EXAM 2 review and key points Questions
with Answers (100% Correct Answers)

Mitral stenosis murmur Answer: Diastolic rumble with opening snap,
Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo RUMBLE"

Mitral regurgitation murmur Answer: Systolic, S3 with systolic murmur
at 5th ICS MCL (apex); may radiate to base or left axilla, musical
blowing or high pitch. This is heard in Mitral Valve prolapse.

Aortic stenosis murmur Answer: Systolic "Blowing", rough harsh
murmur at 2nd left ICS (base) usually radiating to the neck

Aortic regurgitation murmur Answer: early diastolic murmur-high
pitched "blowing" at 2nd left ICS (base)

CHADSVASC scoring system Answer: C: CHF — 1

H: HTN — 1

A: Age ≥ 75 years — 2

D: DM — 1



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S2: Stroke/TIA prior— 2

V: Vascular disease (prior MI, PAD, aortic plaque) — 1

A: age 65-74 years — 1

S: sex category, female — 1

CHADSVASC scoring system score card Answer: Score > 2 = get the

patient anticoagulation




- for stroke risk in non-rheumatic afib

HASBLED score Afib bleeding risk Answer: Hypertension (SBP>160) - 1

Abnormal liver or renal function - 1 point each (2 poss)

Stroke - 1

Bleeding (major bleeding Hx) - 1

Labile INRs on Warfarin - 1

Elderly (>65 yo) - 1



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