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Rock Street 34, San Francisco State

The anterior chest area that overlies the heart and great vessels is called the
precordium
The bicuspid, or mitral, valve is located
between the left atrium and the left ventricle
The semilunar valves are located
at the exit of each ventricle at the beginning of the great vessels
The sinoatrial node of the heart is located on the
posterior wall of the right atrium
The P-wave phase of an ECG represents
conduction of the impulse throughout the atria
During a cardiac examination, the nurse can best hear the S1 heart sound by placing the stethoscope at the client’s
apex of the heart
The S4 heart sound can be heard
during diastole
An adult client visits the clinic and tells the nurse that she feels chest pain and pain down her right arm. The nurse should refer the client to a physician for possible
angina
An adult client tells the nurse that his father died of a massive coronary attack at the age of 65. One risk factor of coronary heart is
high serum level of low-density lipoproteins
The nurse is planning a presentation about coronary heart disease for a group of middle-aged adults. What should be in the teaching plan?
lowering elevated cholesterol and BP decreases the risk of heart attack
The nurse is preparing to assess the cardiovascular system of an adult client with emphysema. It may be difficult to hear the client’s
apical pulse (left MCL)
The nurse is planning to auscultate a female adult client’s carotid arteries. The nurse should plan to
ask the client to hold her breath
While assessing an older adult client, the nurse detects a bruit over the carotid artery. A bruit is…
associated with occlusive arterial disease
Client’s jugular veins are fully extended. These signs are indicative of
increased venous pressure
While palpating the apex, left sternal border, and base in an adult client, the nurse detects a thrill. The nurse should further assess the client for…
cardiac murmur
The nurse is auscultating the heart sounds of an adult client. To auscultate Erb point, the nurse should place the stethoscope at the…
third to fifth intercostal space at the left sternal border
While auscultating an adult client’s heart rate and rhythm, the nurse detects an irregular pattern. The nurse should..
refer the client to a physician
The nurse has assessed the heart sounds of an adolescent client and detects the presence of an S3 heart sound as the beginning of the diastolic pressure. The nurse should…
recognize that this finding is normal in adolescents
While assessing an adult client, the nurse detects opening snaps early in diastole during auscultation of the heart. The nurse should refer the client to a physician because this is usually indicative of…
mitral valve stenosis
The nurse detects paradoxical pulses in an adult client during an examination. The nurse should explain to the client that parodical pulses are usually indicative of…
obstructed lung disease
Assessment technique most often associated with evaluation of the cardiac system
auscultation
event of the heart when contraction go the ventricles forces blood into major arteries “lub” S1
systole
Ventricles relax and pressure drops. Closing of semilunar valves “dub”
diastole
Abnormal heart sounds are heard due to improper opening or closing of valves called
murmurs
Palpable murmur described as feeling like the throat of a purring cat
thrill
Audible variation between closure of two valves
splitting
Area of auscultation located at the second ICS and left sternal border
pulmonic
Localized area of tissue necrosis caused by prolonged anoxia (no oxygen)
infarct
Area of auscultation located in the apex and assessing the left ventricle, fourth to fifth ICS at the left midclavicular line
Mitral
Area of Auscultation at the second ICS and right sternal border
Aortic
Part of the stethoscope used to auscultate normal heart sounds
diaphragm
The portion of the stethoscope used to assess for murmurs
Bell
Records electrical activity of the heart, shows different aves, used to assess hearts ability to perform impulses
ECG (Electrocardiogram)
Total Cholesterol Levels
< 200 Mg/dL
Low Density Lipoproteins
< 100 mg/dL (bad) (too high risk of coronary heart disease)
High Density Lipoproteins
> 60 mg/dL (good)
Triglyceride
<150 mg/dL
Order 5 areas for listening of the heart
Aortic, Pulmonic, Erb’s Point, Tricuspid, Mitral
Pulse Amplitude Scale
0= absent, 1+weak, 2+ normal, 3+ increased, 4+ bounding
Black males have lower resting heart rate than
white males
Client has chest pain, elevated blood pressure and shortness of breath with activity. Carotid Arteries are 1+ bilaterally, Grade 3 systolic murmur. diagnosis…
Ineffective Tissue Perfusion
To assess the function of the right side of the heart, the nurse should perform which party of the heart and neck vessel assessment?
Jugular venous pulse
Clients heart rate of 56 beats per minute. How should this be documented?
Brandycardia
Structure that slightly delays incoming electrical impulses from the atria before relaying the impulse on to the ventricles causing them to contract during this phase…
Atrioventricular node (AV)
Earliest sign of heart failure
Auscultation of S3 Heart sounds
Thickest layer of the heart
myocardium
Unable to palpate the apical impulse of an older client. Which assessment data in the client’s history should the nurse recognize as the reason for this finding?
Client has an increased chest diameter
Rate speeds with inspiration and slows with exhalation. This could be recognized as…
Sinus arrhythmia

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