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BSN 246 HESI HEALTH ASSESSMENT FINAL EXAM NEWEST 2024 WITH COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+ 100% GUARANTEED TO PASS CONCEPTS!!! $28.99
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BSN 246 HESI HEALTH ASSESSMENT FINAL EXAM NEWEST
2024 WITH COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
aneurysm - ANSWER-visible, prominent pulsation or dialation
diastole - ANSWER-ventricular relaxation, ventricular filling from atria.
erythema - ANSWER-redness of skin
murmur - ANSWER-harsh, blowing sounds caused by disruption of blood flow
myocardial ischemia - ANSWER-oxygen needs heightened so heart has to work
harder
systole - ANSWER-ventricular contraction, blood leaves the ventricles to go to
the lungs or body.
what is the pacemaker of the heart - ANSWER-sinoatrial node (SA node)
how many times is the sinoatrial node set to discharge per minute - ANSWER-
60-100
,if the heart rate is initiated in the atrioventricular node, how fast would the
heart beat per minute - ANSWER-60
if the heart rate is initiated in the bundle branches, how fast would the heart
beat per minute - ANSWER-30
what is the term used to describe a sudden droop in blood pressure that may
occur when an older client changes position from lying or sitting to standing -
ANSWER-orthostatic hypotension
what two cultural groups are at the highest risk for hypertension - ANSWER-
african americans, spanish (mexicans/cuban/filipino)
dullness when percussing over the heart is - ANSWER-an abnormal finding that
could indicate an enlarged heart.
the third heart sound (S3) is heard - ANSWER-immediately after S2.
S3= kentucky
the fourth heart sound (S4) is heard - ANSWER-immediately before S1
S4= there are 4 e's in tenessee
what is happening when S1 is heard? - ANSWER-tricuspid and mitral (AV) valves
are closing. begins systole
what is happening when S2 is heard? - ANSWER-aortic and pulmonic
(semilunar) valves are closing. end of systole and beginning of diastole.
,when would the nurse hear S3 - ANSWER-when AV (tricuspid & mitral) valves
open, blood flow into ventricles may vibrate during mid-diastole, termed
ventricular gallop.
when would the nurse hear S4 - ANSWER-before S1, termed atrial gallop.
what is the significance of S3 - ANSWER-may indicate heart failure or fluid
overload.
what is the significance of S4 - ANSWER-may indicate hypertension or
ventricular hypertrophy
at erb's point you can hear - ANSWER-S1 and S2 equally
at the aortic and pulmonic valves you can hear - ANSWER-S2
at the mitral valve you can hear - ANSWER-S1
(PMI)
aortic stenosis - ANSWER-murmur at aortic area. narrowing of the aortic valve.
may be congenital or caused by atherosclerosis
mitral stenosis - ANSWER-murmur heard at the apical area with the client in
the left lateral position. possible causes is rheumatic fever or cardiac infection.
, ventricular hypertrophy - ANSWER-occurs due to pumping against high
pressures
myocardial ishcemia - ANSWER-oxygen needs of the myocardium are not met
as the heart works harder. may be caused by plaque or blood clot. need to
assess client for type of pain and associated factors including nausea, epigastric
pain, jaw or left shoulder pain.
pulmonary stenosis - ANSWER-narrowing of the opening between the
pulmonary artery and the right ventricle. may have murmur at pulmonic area
and a thrill in the left second and third intercostal space.
congestive heart failure - ANSWER-caused by hearts inability to pump
effectively
infective endocarditis - ANSWER-may see splinter hemorrhage of nail beds.
caused by a bacterial infection to the lining of the heart chanbers.
tricuspid stenosis - ANSWER-narrowing of the tricuspid valve. murmur over the
tricuspid area
aortic regurgitation - ANSWER-back flow of blood from the aorta into the left
ventricle. murmur with the client leaning forward. may result in shortness of
breath and fatigue.
left sided heart failure - ANSWER-results in pulmonary congestion, shortness of
breath, and orthopnea. crackles may be heard on auscultation.
cor pulmonale - ANSWER-complication of untreated heart failure. results in
JVD, peripheral edema, fluid retention and weight gain. may have clubbing.
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