Exam (elaborations)
NR509 / NR 509 Midterm Exam (Latest 2023 / 2024): Advanced Physical Assessment - Chamberlain
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- Chamberlain College Of Nursing
NR509 Advanced Physical Assessment Midterm Exam
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NR-509 Advanced Physical Assessment Midterm Exam metabo lic syndrome - A syndrome marked by the presence of usually three or more of a group of factors (as high blood pressure, abdominal obesity, high triglyceride levels, low HDL levels, and high fasting levels of blood sugar) that are linked to increased risk of cardiovascular disease and Type 2 diabetes. jugular venous pressure - closely reflects pressure in RA or CVP. Best assessed from pulsations in Right internal jugular vein which is directly in line w ith SVC and RA. JVP falls with loss of blood or decreased v enous vascular tone, and increases with right or left heart failure carotid upstroke - always occurs in systole immediately after S1, sounds or murmurs heard within the upstroke are systolic. Sounds or murmurs heard following upstroke ar e diastolic. Carotid bruit - Turbulent blood flow heard with auscultation over the carotid artery. (Due to carotid narrowing or plaque) point of maximal impulse - The point on the chest wall over the heart at which the con traction of the heart is best seen or felt; normall y at the fifth intercostal space in the left midclavicular line in adults Splitting of S2 - Pulmonary valve closure tends to be further delayed during inspiration, probably because of increased capacity of t he pulmonary capillary bed during insp iration, whic h prolongs right ventricular ejection. This causes physiologic splitting of S2, accentuated by inspiration, often best heard near the pulmonary area. oscillation point of JVP - non-palpable, position patent at 45 degrees, look away to left, look for pulsatio n in internal jugular vein, differentiate from carotid pulse. Assessed by looking at right IJV. Use a light diagonally for each heart beat there are 2 pulses for JVP. distinguished from carotid pules by 2 beats, JVP no palpable pulsation. Pres s on RUQ/live r cause temporary rise in JVP (hepatojuglar reflex) find sternal angle and measure vertically from that point normal is <3 cm jvp waveform - a=atrial contraction increased pressure in right atrium that incre ases pressure in IJV x descent = relax ation of atri a, drop in JVP c wave= right ventricle contraction, pressure on tricuspid valve, tricuspid bulges into IVC and into IJV v=atria relaxes, y=tricuspid valve opens, blood from RA into RV increased JVP - = incre ased right atrium pressure. causes: he art failure, fluid overload, constrictive pericarditis, cardiac tamponade. aortic area - 2nd intercostal space, right sternal border, overlies aortic outflow tract pulmonic area - 2nd intercostal space, left sternal border , overlies the pulmonary arteryThe benefits of buying summaries with Stuvia:
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