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Davenport University NURS217: Health Assessment in Nursing - Final Exam Chapters 24, 28, 32 and ALL Questions With Complete Solutions$12.99
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Davenport University NURS217: Health Assessment in
Nursing - Final Exam Chapters 24, 28, 32 and ALL
Questions With Complete Solutions
Abduction (23) Correct Answers Moving away from the
midline of body (hip can do this)
Adduction (23) Correct Answers Moving toward the midline of
body (hip can do this)
Adventitious lung sounds (19) Correct Answers •Crackles
(rales)- popping sounds heard over inspiration, when alveoli are
not fully aerated
•Atelectatic crackles- (not pathologic) heard in older adults or
after sleep and clear within a few breaths or coughing in the
morning
•Wheeze (rhonchi)- musical sounds heard over expiration;
airway obstruction from asthma or emphysema
Age-related changes (20) Correct Answers •Increase in systolic
BP due to thickening and stiffening of large arteries
•Left ventricular wall thickens
•Dysrhythmias increase with age
•CVD increases with age; leading cause of death in those age 65
and older
Age-related changes (21) Correct Answers •Develop
arteriosclerosis- peripheral vessels become more rigid and
causes an increase in systolic BP
,•Develop PAD
•Intramuscular calf veins enlarge increasing the risk of DVTs
•Lymph nodes decrease in size and can disappear
Age-related height loss (23) Correct Answers Become shorter
because of thinning of vertebral discs, postural changes of
kyphosis and flexion of knees and hips
Aging changes (24) Correct Answers •General atrophy and a
steady loss of neuron structure in the brain and spinal cord
•Nerve conduction decreases between 5-10%, making reaction
time slower
•Motor strength and agility decrease
•Decrease in cerebral blood flow and O2 consumption causes
dizziness, loss of balance and risk for falls
•Essential (senile) tremors- intention tremor of the hand, head
nodding and tongue protrusion (benign)
Ascites (22) Correct Answers Free fluid in the abdomen
Aura (24) Correct Answers A warning sign before a seizure
starts
Auscultating heart sounds (20) Correct Answers S1 ("Lub")
Closure of AV valves
-> Tricuspid and Mitral
S2 ("Dub"/"Dup")
Closure of SL valves
-> Aortic and Pumonary
, •Aortic- second intercostal space, right side
•Pulmonic- second intercostal space, left side
•Tricuspid- left lower sternal border
•Mitral- fifth intercostal space, left midclavicular line
•Move your stethoscope in a rough Z pattern, inching from the
base to the apex
•Lightly apply the bell of the stethoscope on 3 areas of the
carotid artery
•Ask the patient to take inhale in, exhale out, then hold their
breath
•Hearing normal heart sounds is not a positive sign
•Bruit sounds like a whooshing (water running in a fast moving
river)
Chest (28) Correct Answers Posterior
•Step behind the patient
•Inspect the posterior chest; symmetry of shoulders and muscle,
skin
•Palpate spinous process
•Symmetric expansion
•Percuss lung fields
•Percuss costovertebral angle
•Auscultate breath sounds
-> 1 inhale and 1 exhale in each location
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