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NURS 602 HEALTH ASSESSMENT (Cardiovascular System) CHAPTER 6 STUDY GUIDE QUESTIONS AND ANSWERS.
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NURS 602 HEALTH ASSESSMENT (Cardiovascular System) CHAPTER 6 STUDY GUIDE QUESTIONS AND ANSWERS.
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NURS 602 HEALTH ASSESSMENT (Cardiovascular System) CHAPTER 6STUDY GUIDE QUESTIONS AND ANSWERS.
1. Heart Diagram.
2. What are •Chest pain, palpitations, fainting (syncope), fatigue
some common/con- edema, SOB, **possibly cyanosis
cerning cardiac
symptoms (CC & **use OLDCARTS to describe!!!!!!!!!!!!
HPI)?
3. What are some atyp- N/V, left arm pain, abdominal pain, reflux, upper back,
ical cardiac symp- neck, tooth and jaw pain, cramping; grinding, pricking
toms?
4. What is important to Ask about history of CAD, CHF, cardiovascular surgery,
include in a cardiac CHD (congenital heart disease), valve disease, rhythm
PMH? disorder, medications hx, if they've had a stress test,
echo, or any other cardiac imaging
5. What is important to Age of death of cardiac incidence in a family member,
include in a Cardiac when family member had an MI, rhythm disorders,
Family History? CHD, htn, DM, obesity
6. What are some risk HTN, DM, obesity, nutrion, exercise habits, stress
factors for CVD? (jobs)
7. What is important to Smoking (vasoconstricts vessels= smoking cessation),
include in a cardiac alcohol, drug use and employment
social history?
8. T or F. It is impor- T. if cough= do respiratory ROS, if leg pain, tingling
tant to do a cardiac numbness in extremities= do musculoskeletal ROS, if
and respiratory ROS N/V= do abd ROS
during a cardiac fo-
cused health histo-
ry.
, NURS 602 HEALTH ASSESSMENT (Cardiovascular System) CHAPTER 6
STUDY GUIDE QUESTIONS AND ANSWERS.
9. What are you •General appearance
inspecting during •Color, distress, posture
a cardiac physical •Inspect precordium for:
exam? Apical impulse, pulsations , heaves
or lifts that are visible
•Extremities(blue/black for PVD? Erythema, pain? )
10. What are you palpat- Palpate the precordium to detect; Apical impulse,
ing the precordium thrills, heaves, lifts
for during a cardiac
exam?
11. When palpating the Point of maximal impulse (PMI) which is the point at
apical impulse you which the apical impulse is most readily seen or felt
are looking for
the....
12. Where is the apical Apical impulse - 5th LICS, Mid Clav. Line
impulse located?
13. What are some Cardiomyopathy, pregnancy= elevated diaphragm
things that can
cause a lateral shift ** all of this results in a shift in the PMI
of the heart?
14. Thrills Vibration produced by turbulent blood flow within the
heart (murmurs, valvular disease, CHD) ***can be
seen during inspection or palpated
15. Heaves/lifts Sustained impulses that rhythmically lift your fingers,
usually produced by an enlarged Right or Left ventricle
and occasionally by ventricular aneurysm
16. What is the se- Apex, Left sternal border, Base=Apex, up the left ster-
quence for palpat- nal border, base, down the right sternal border, into the
ing the precordium? epigastrium or axillae if the circumstance dictates
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