NU 650 Final Exam SG Study Guide.
Order of Assessment - answerInspection, Palpation, Percussion and Auscultation. EXCEPT with
abdomen
Comprehensive Health History - answerchief complaint, reason for visit, ROS, past medical and surgical
history, social history and family history
Pediatric Body...
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - answer✔the spoken voice sound heard through the stethoscope, which sounds soft,
muffled, and indistinct over normal lung tissue, clearer over disease
Egophony - answer✔abnormal change in tone of voice that is heard when auscultating the lungs EE--
>AA
UE Arteries - answer✔radial-thumb side, ulnar pinky side
Pulse grading - answer✔0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - answer✔point of maximal impulse mid-clavicular and 5th ICS
S1 - answer✔normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - answer✔normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3 - answer✔third heart sound (normal in pregnant young adults, and children), gallop
S4 - answer✔extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - answer✔I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
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