Advanced Health Assessment Cardiovascular Study Guide Exam And Actual Answers.
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Course
Advanced health assessment
Institution
Advanced Health Assessment
What is the first step in the cardiovascular assessment ? - Answer Supine with HOB 30 degrees:
- JVP
- Carotid Pulses
- Inspect and palpate pericordium
- PMI
Where would you inspect and palpate the pericordium ? - Answer 2nd R/L intercostal spaces
What is the pericordium? - Ans...
Advanced Health Assessment
Cardiovascular Study Guide Exam And
Actual Answers.
What is the first step in the cardiovascular assessment ? - Answer Supine with HOB 30 degrees:
- JVP
- Carotid Pulses
- Inspect and palpate pericordium
- PMI
Where would you inspect and palpate the pericordium ? - Answer 2nd R/L intercostal spaces
What is the pericordium? - Answer The region of the thorax directly in front of the heart.
What is another term for the apical pulse - Answer Point of maximum impulse
What do you measure when assessing the PMI - Answer diameter, location, amplitude, and duration
How do you measure the PMI - Answer - Lay the patient on their left, lateral, decubitus
- Listen with the bell of the stethoscope
What are the six regions of the heart you auscultate with he bell and diaphragm. - Answer Aortic,
pulmonic, erbs, tricuspid (2) and mitral
What technique is used to auscultate aortic regurgitation - Answer Sitting the client up and having
them lean forward while exhaling fulling and auscultation with the diaphragm
, What last longer, diastole or systole? - Answer diastole
When does cardiac upstroke occur? - Answer During systole
Where is S1 heard the loudest? - Answer apex of the heart
Where is S2 heard the loudest? - Answer base of the heart
What occurs during inspect of the cardiovascular system? - Answer PMI or apical pulse
Where is the point of maximal impulse? - Answer 4th or 5th ICS, 7-9 cm from sternum
What occurs during palpation of the cardiovascular system? - Answer - Heaves and Lifts ~ flat palm
(rhythmically lift; may indicate chamber enlargement)
- Thrills ~ ball fo your hand (buzzing or vibratory; underlying turbulent blood flow ~ auscultate for a
murmur if felt.)
- RV impulses ~ subxiphoid region
- S1 and S2 ~ firm pressure on the chest wall
What occurs during auscultation of the cardiovascular system? - Answer - Diaphragm ~ high pitched
sounds (AV and MV regurgitation and pericardial friction rubs)
- Bell ~ low pithed sounds and highly sensitive (S3 and S4 along with Mitral stenosis)
Define the grading scale for murmurs - Answer Grade 1-6
1: "tuned in" faint
2: Quiet, head once stethoscope is immediately placed on the chest
3: moderately loud
4: Loud with palpable thrill
5: Loud with palpable thrill, heard with the stethoscope slightly off of the chest.
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