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Exam (elaborations)

NU2011 Exam 2 Study Guide with Complete Solutions

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  • Course
  • NU 2024
  • Institution
  • NU 2024

NU2011 Exam 2 Study Guide with Complete Solutions Where to examine during the cardiac exame - Ans:-2nd to 5th intercostal. Direction of blood flow through the heart - Ans:-blood flows from inferior vena cava to the superior vena cava- enters the heart in the right atrium- blood flows from the r...

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  • October 24, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 2024
  • NU 2024
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




NU2011 Exam 2 Study Guide with
Complete Solutions


Where to examine during the cardiac exame - Ans:✔✔-2nd to 5th intercostal.


Direction of blood flow through the heart - Ans:✔✔-blood flows from inferior vena cava to the superior

vena cava- enters the heart in the right atrium- blood flows from the right atrium to the right ventricle

through the tricuspid valve to the right ventricle.


Blood flows from the right ventricle through the pulmonary semilunar valve to the pulmonary artery and

is taken to the lungs to be oxygenated.


Blood from lungs is taken to the left atria via the pulmonary vein- blood goes from left atria to the left

ventricle through the bicuspid (mitral) valve- blood goes from the left ventricle to the aorta through the

aortic semilunar valve and enters the aorta and goes into the body.


Heart sounds - Ans:✔✔-results from the movements of the valves and blood flow in the heart.


Normal heart sounds: S1 and S2


- noises they make, when they are heard and where they are heard the loudest - Ans:✔✔-S1: isometric

contraction- systole hear "lub" from the AV valve. heard loudest at mitral and tricuspid areas.

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




S2: isometric relaxation- diastolic: hear "dub" from the semilunar valve. - heard loudest at aortic and

pulmonic areas.


*results from movement of valves and blood flow in heart. no extra sounds should be heard in the heart.


Abnormal Heart sounds: S3 and S4 - Ans:✔✔-S3: heart noise heard in rapid filling phase caused by

resistance in the left ventricle. *sounds like Tennessee.


S4: heart noise heard right before S1 is heard- due to increased compliance of the left ventricle. sounds

like *Kentucky


5 Landmarks no where to listen to heart noises (APETM) - Ans:✔✔-1. Aortic area: right 2nd intercostal


2. Pulmonic: Left 2nd intercostal


3. Erb's pt: Left 3rd intercostal


4. Tricuspid: Left of sternum: 4-5th ICS.


5. Mitral area: Left 5th ICS, medial to midclavicular line.


Inspection:


where you should stand how pt lays


PMI - Ans:✔✔-- observe from right side- person should be supine.




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Observe each precordial area for pulsations and also note breathing.


- Pulsation known as apical pulse or point of maximal pulse may be seen in the mitral area.


Palpation - Ans:✔✔-palpate person while supine- palpate precordial area and apical pulse (might have to

have them lay on left side to find the pulse.


Ausculate - Ans:✔✔-1. proceed from one landmark to another- use both bell and diaphragm.


2. listen for rate and rhythm, identify S1 and S2 (lub, dub). Assess for S3 and S4


Apex and base of heart - Ans:✔✔-S1: heard LUB loud at the apex


S2: heard DUP loud at the base.


Arterial pulses (8) - Ans:✔✔-1. temporal


2. carotid


3. brachial


4. radial


5. femoral


6. popiteal


7. Posterior tibialis

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