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MEDSURG 2 NUR 265 EXAM
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MEDSURG 2 NUR 265 EXAM
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MEDSURG 2 NUR 265 EXAMHow many chambers are in the heart? - ANSWER 4 (2 atria, 2 ventricles)
______ is heard loudest at the apex of the heart - ANSWER apical pulse
_______ pumps blood to the lungs to become oxygenated - ANSWER right side
Lungs send the blood back to the _______, then out to the body - ANSWER left
side
What does "tissue paper my assets" mean? - ANSWER Tricuspid
Pulmonic
Mitral
Atrial
______________ opens to let deoxygenated blood into RV - ANSWER tricuspid
valve
__________opens to let deoxygenated blood into the pulmonary artery to be pushed
to the lungs - ANSWER pulmonic valve
mitral valve - ANSWER oxygenated blood from the lungs in the LA, the valve opens
to push this blood into the LV
atrial valve - ANSWER opens to allow blood to flow out of the aorta to the rest of
the body
_________ is when blood is moving backward instead of forward, oxygenated and
deoxygenated blood mix - ANSWER valve regurgitation
normal heart sounds - ANSWER S1-S2
S1 "lub" - ANSWER closing of mitral and tricuspid valves
S1 is heard loudest - ANSWER apex
S2 "dub" - ANSWER closure of aortic and pulmonic valves
S2 is hears loudest - ANSWER base
extra not expected heart sounds - ANSWER S3-S4
when is S3 heard best? - ANSWER in left lateral position
S3 - ANSWER volume overload problem hear in early diastole
S4 - ANSWER stiff ventricle problem heard immediately before systole
, what causes murmurs? - ANSWER valves don't slam shut like their supposed to,
they take too long to close causing turbulent blood flow... deoxygenated blood and
oxygenated blood mix
precordium - ANSWER area of the chest wall overlying the heart and great vessels
thrill - ANSWER palpable vibration on the chest wall accompanying severe heart
murmur
heave or lift - ANSWER sustained forceful thrusting of the ventricle during systole
What are the 5 locations we auscultate to listen to the heart? - ANSWER Aortic:
2nd intercostal space, right sternal border
Pulmonic: 2nd intercostal space, left sternal border
Erb's Point: 3rd intercostal space, 1/2 between base and apex
Tricuspid: 4th intercostal space, left sternal border
Mitral: 5th intercostal space, midclavicular line
________________ are made of smooth muscles controlled by the autonomic
nervous system - ANSWER arteries and veins
Select the best description of the tricuspid valve:
a. left semilunar valve
b. right atrioventricular valve
c. left atrioventricular valve
d. right semilunar valve - ANSWER b. right atrioventricular valve
the function of the pulmonic valve is to:
a. divide the left atrium and left ventricle
b. guard the opening between the RA and RV
c. protect the orifice between the RV and the pulmonary artery
d. guard the entrance to the aorta from the left ventricle - ANSWER c. protect the
orifice between the RV and the pulmonary artery
Atrial systole occurs - ANSWER during ventricular diastole
the second heart sound is the result of - ANSWER closing of the aortic and
pulmonic valves
The examiner has estimated the jugular venous pressure. Identify the finding that is
abnormal. - ANSWER patient elevated to 45 degrees, internal jugular vein pulsation
at 4 cm above sternal angle
Which is a normal-sized apical impulse? - ANSWER approximately 1 x 2 cm
What would differentiate a split S2 from S3? - ANSWER S3 is lower pitched and is
heard at the apex
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