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FAU Health Assessment Exam 2 (Unit 6-8) questions with correct answers
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FAU Health Assessment Exam 2 (Unit 6-8) questions with correct answers
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FAU Health Assessment Exam 2 (Unit 6-8) questionswith correct answers
Questions to Ask During Cardiovascular ROS Correct Answer-Ask
about:
-Incidence of chest pain/pressure
(Quantify the pain "how many flights of stairs?)
(Pressure seen in 50% of acute MI)
(Interior chest pain = ripping or tearing pain radiating to back and neck
is an acute Aortic Dissection)
-Congenital defects
-Genetics
-Surgical Procedures
-Palpitations (Unpleasant awareness of heart beat)
-Shortness of breath:
Dyspnea (Uncomfortable awareness of breathing that is inappropriate to
level of exertion)
Orthopnea (Dyspnea when lying down and improves when sitting up)
Paroxysmal Nocturnal Dyspnea (Sudden that awaken a pt from sleep
usually 1-2 hours after going to bed)
-Swelling or Edema
,Murmurs Heard at the Cardiac Apex Correct Answer--Mitral valve
murmurs are heard best at the cardiac apex
-Murmurs originating from the aortic valve may be heard anywhere
from the 2nd intercostal space to the apex
Inspiratory Splitting of S2 Correct Answer-During inspiration the filling
time of the right heart increases, thereby increasing the stroke volume
and lengthening the duration of right ventricle emptying compared to the
left ventricle.
-This delays closure of the pulmonic valve, splitting S2 into its two
audible components
-Difficult to hear in obese individuals or people with increased
anteroposterior diameter chest walls
-Heard best at 2nd intercostal space close to the sternum
Percussion Sounds over Gastric Bubble Correct Answer-Tympany- a
clear hollow drum-like note heard during percussion over gas filled
organs, such as the stomach and bowels
-Tympany overlies the gastric air bubble and the splenic flexure of the
colon
-Dullness is heard over areas of fluid and feces
, Good Percussion Techniques Correct Answer-When assessing the
abdomen ensure to auscultate before you percuss
-Percuss in an order like a clock starting at RUQ moving to LUQ -
>LLQ->RLQ
-Compare two area to each other
-strike twice in each location
-Identify 5 Percussion notes:
1. Flatness (Soft, high pitches, short duration in the thigh)
2. Dullness (medium, medium pitch, medium duration in the liver)
3. Resonance (Loud, low pitch, long duration in healthy lung)
4. Hyperresonance (very loud, lower pitch, longer duration, usually
nowhere)
5. Tympany ( loud, high pitch, usually in gastric air bubble or puffed-out
cheek)
*Use Ladder back pattern on the posterior thorax*
Assessing Enlarged Liver Correct Answer-Percuss over the liver in both
the midclavicular line and at the midsternal line
-Midclavicular line percussion should be 6-12 cm (Liver span)
longer indicates an enlarged liver
-Midsternal line percussion should be 4-8cm
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