Exam (elaborations)
Cardiovascular - NURS 190 Physical Assessment.pdf
- Course
- NURS 190
- Institution
- Chamberlain College Of Nursing
Cardiovascular - NURS 190 Physical A
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Cardiovascular - NURS 190 PhysicalAssessment
Systole – answer Phase of ventricular contraction
Diastole - answer Phase of ventricular relaxation
Systole begins with___ and ends with ___ answer -
Closure of AV valves (S1)
Closure of the aortic and pulmonic valves (S2)
Diastole begins with ___ and ends with ____ answer -
Closure of the aortic and pulmonic valves (S2)
Closure of the AV valves (S1)
,S3 (ventricular gallop) - answer -Early diastolic sound from
vibrations produced when ventricles fill rapidly.
-Occurs when ventricle reaches its elastic limit, causing
the blood flow from the atrium to slow rapidly.
-Comes shortly after S2
-Sounds like "Kentucky"
S3 sound is best heard ? answer - At the apex with patient
in left lateral position.
Pathologies associated with presence of S3 sound -
answer Conditions that cause overly compliant left
ventricle
-Systolic or diastolic ventricular dysfunction
-Ischemic heart disease
,-Tricuspid, mitral, or aortic regurgitation
-Volume overload
-Hypertension
S3 may be normal in individuals ____ - answer -Children
-Young adults
-Pregnant females in third trimester
S4 (atrial gallop) - answer -Active atrial contractions that
cause late ventricular filling
-Sounds like "Tennessee"
-Physiologic in children, athletes, or middle-aged adults
with thin chest walls.
-Pathologic in presence of cardiac disease; CAD, aortic
stenosis, HTN, aortic obstruction.
, S4 best heard - answer At apex in left lateral position with
bell
Pathologies associated with S4 - answer Any condition
that creates a noncompliant left ventricle
-Ventricular hypertrophy
-Acute MI
-Angina
-Ventricular aneurysm.
Clicks and snaps heard in patients with - answer valvular
disease
Opening snap heard in - answer mitral stenosis
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