NSG 316 EXAM 3 HEALTH ASSESSMENT REVIEW EXAM(LATEST UPDATE |VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS|ALL GRADED A+|GUARANTEED SUCCESS
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NSG 316 HEALTH ASSESSMENT
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NSG 316 HEALTH ASSESSMENT
NSG 316 EXAM 3 HEALTH ASSESSMENT REVIEW EXAM(LATEST UPDATE |VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS|ALL GRADED A+|GUARANTEED SUCCESS
Myocardium - ANSWER-heart muscle that surrounds ventricles and atrium
Atria are thinner as they need to pump less strong
pericardium - ANSWER-exter...
NSG 316 EXAM 3 HEALTH ASSESSMENT
REVIEW EXAM(LATEST UPDATE 2024-
2025|VERIFIED EXAM QUESTIONS
AND CORRECT ANSWERS|ALL GRADED
A+|GUARANTEED SUCCESS
Myocardium - ANSWER-✅heart muscle that surrounds ventricles and atrium
Atria are thinner as they need to pump less strong
pericardium - ANSWER-✅external layer that protects heart from injury/infection
endocardium - ANSWER-✅3 layered membrane that lines heart chambers
blockage of coronary arteries can lead to - ANSWER-✅heart attack or stroke
heart failure - ANSWER-✅increased pressure of cardiac overload
-pulm congestion
-inc amount of blood in pulm capillaries
Left sided heart failure - ANSWER-✅dyspnea/SOB, pulmonary edema
right sided heart failure - ANSWER-✅blood back up in the periphery and will
present with edema
cardiomegaly - ANSWER-✅abnormal enlargement of the heart due to over working
to compensate for decreased function
frequency - ANSWER-✅high pitched or low pitched
what should you use the diaphragm of a stethoscope for - ANSWER-✅high pitched,
normal sounds
what should you use the bell of a stethoscope for - ANSWER-✅low pitched,
abnormal heart sounds, murmurs
intensity/loudness - ANSWER-✅loud or soft
duration - ANSWER-✅short heart sounds, or silent periods
,timing - ANSWER-✅systole or diastole
carotid artery/pulse - ANSWER-✅found in the neck. feel one at a time. S1 is felt
what is the most diminished pulse in the aging adult - ANSWER-✅pedal pulse
normal heart sounds - ANSWER-✅S1 and S2
S1 heart sound - ANSWER-✅-occurs with closure of mitral and tricuspid valves (AV
valve)
-"lub" sound
-loudest at apex (5th intercostal space at midclavicular line)
S2 heart sound - ANSWER-✅-occurs with closure of aortic and pulmonic valves
(semilunar valves)
-"dub" sound
-loudest at base of heart (2nd intercostal space)
abnormal heart sounds - ANSWER-✅S3 and S4 sounds, murmurs, and bruits
S3 heart sounds - ANSWER-✅-not usually heard
-gallop sound
-indication of HF
-occurs with ventricular resistance of filling
S4 heart sounds - ANSWER-✅-create vibrations
-can be heard right before S1 sound
-occurs at end of diastole when ventricles resist filling
murmur loudness scale - ANSWER-✅1-3: no thrill
4: feel thrill
5-6: feel and hear thrill
5: hear thrill through stethoscope
6: can hear thrill without stethoscope
timing of murmur - ANSWER-✅early, middle, late, systole/diastole (S1/S2)
murmur pitch - ANSWER-✅high, medium, low
murmur pattern - ANSWER-✅grows louder or softer
murmur quality - ANSWER-✅musical, flowing, harsh
, murmur location - ANSWER-✅valve/space it is heard at
murmur radiation - ANSWER-✅down with blood flow
murmur posture - ANSWER-✅disappear/enhance with different pos.
systolic murmur - ANSWER-✅-heard in between S1 and S2
-Mitral/Tricuspid stenosis/regurgitation, mitral valve prolapse
diastolic murmur - ANSWER-✅-heard between S2 and S1
-Atrial/pulmonic stenosis/regurgitation
bruits - ANSWER-✅swishing sound heard over arteries
carotid artery - ANSWER-✅Timing closely coincides with ventricular systole.
Document wave form. Should be sitting with assessment
jugular veins - ANSWER-✅look for pulsations, distinguish between internal jugular
and carotid artery as they can be easily confused
heave/lift - ANSWER-✅-sustained forceful thrusting of ventricle during systole
-obvious/visible movement of chest
-felt best with heal of hand at sternal border
thrill - ANSWER-✅palpable vibratory sensation felt on aspects of 4 fingers. audible
with stethoscope. exaggerated heart murmurs
thrill cause - ANSWER-✅tin blood flow in the heart from valve disease/congenital
heart failure
auscultation of heart (locations) - ANSWER-✅Z formation
-Aortic: 2nd intercostal space on right sternal border
-Pulmonic: 2nd intercostal space on left sternal border
-Erb's pt: tricuspid area (3rd intercostal space on left)
-Tricuspid: 4th intercostal space on left side
-Mitral: 5th intercostal space, midclavicular line
apical pulse - ANSWER-✅near the apex of the heart; 5th intercostal, midclavicular
line
doppler ultrasonic probe - ANSWER-✅Use this device to detect a weak peripheral
pulse (dorsalis pedis)
locate pulse site by the swishing, whooshing sound
how to detect skin changes in darker skinned people - ANSWER-✅expect feet to be
darker; look at soles of feet
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