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Health Assessment Chapter 21 Assessing Heart and Neck Vessels – Flashcards

Edwin Holland

7 July 2022

question

The anterior chest area that overlies the heart and great vessels is called the

answer

precordium

question

The bicuspid, or mitral, valve is located

answer

between the left atrium and the left ventricle

question

The semilunar valves are located

answer

at the exit of each ventricle at the beginning of the great vessels

question

The sinoatrial node of the heart is located on the

answer

posterior wall of the right atrium

question

The P-wave phase of an ECG represents

answer

conduction of the impulse throughout the atria

question

During a cardiac examination, the nurse can best hear the S1 heart sound by placing the stethoscope at the client's

answer

apex of the heart

question

The S4 heart sound can be heard

answer

during diastole

question

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

answer

angina

question

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

answer

high serum level of low-density lipoproteins

question

The nurse is planning a presentation about coronary heart disease for a group of middle-aged adults. What should be in the teaching plan?

answer

lowering elevated cholesterol and BP decreases the risk of heart attack

question

The nurse is preparing to assess the cardiovascular system of an adult client with emphysema. It may be difficult to hear the client's

answer

apical pulse (left MCL)

question

The nurse is planning to auscultate a female adult client's carotid arteries. The nurse should plan to

answer

ask the client to hold her breath

question

While assessing an older adult client, the nurse detects a bruit over the carotid artery. A bruit is...

answer

associated with occlusive arterial disease

question

Client's jugular veins are fully extended. These signs are indicative of

answer

increased venous pressure

question

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...

answer

cardiac murmur

question

The nurse is auscultating the heart sounds of an adult client. To auscultate Erb point, the nurse should place the stethoscope at the...

answer

third to fifth intercostal space at the left sternal border

question

While auscultating an adult client's heart rate and rhythm, the nurse detects an irregular pattern. The nurse should..

answer

refer the client to a physician

question

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...

answer

recognize that this finding is normal in adolescents

question

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...

answer

mitral valve stenosis

question

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...

answer

obstructed lung disease

question

Assessment technique most often associated with evaluation of the cardiac system

answer

auscultation

question

event of the heart when contraction go the ventricles forces blood into major arteries "lub" S1

answer

systole

question

Ventricles relax and pressure drops. Closing of semilunar valves "dub"

answer

diastole

question

Abnormal heart sounds are heard due to improper opening or closing of valves called

answer

murmurs

question

Palpable murmur described as feeling like the throat of a purring cat

answer

thrill

question

Audible variation between closure of two valves

answer

splitting

question

Area of auscultation located at the second ICS and left sternal border

answer

pulmonic

question

Localized area of tissue necrosis caused by prolonged anoxia (no oxygen)

answer

infarct

question

Area of auscultation located in the apex and assessing the left ventricle, fourth to fifth ICS at the left midclavicular line

answer

Mitral

question

Area of Auscultation at the second ICS and right sternal border

answer

Aortic

question

Part of the stethoscope used to auscultate normal heart sounds

answer

diaphragm

question

The portion of the stethoscope used to assess for murmurs

answer

Bell

question

Records electrical activity of the heart, shows different aves, used to assess hearts ability to perform impulses

answer

ECG (Electrocardiogram)

question

Total Cholesterol Levels

answer

< 200 Mg/dL

question

Low Density Lipoproteins

answer

< 100 mg/dL (bad) (too high risk of coronary heart disease)

question

High Density Lipoproteins

answer

> 60 mg/dL (good)

question

Triglyceride

answer

<150 mg/dL

question

Order 5 areas for listening of the heart

answer

Aortic, Pulmonic, Erb's Point, Tricuspid, Mitral

question

Pulse Amplitude Scale

answer

0= absent, 1+weak, 2+ normal, 3+ increased, 4+ bounding

question

Black males have lower resting heart rate than

answer

white males

question

Client has chest pain, elevated blood pressure and shortness of breath with activity. Carotid Arteries are 1+ bilaterally, Grade 3 systolic murmur. diagnosis...

answer

Ineffective Tissue Perfusion

question

To assess the function of the right side of the heart, the nurse should perform which party of the heart and neck vessel assessment?

answer

Jugular venous pulse

question

Clients heart rate of 56 beats per minute. How should this be documented?

answer

Brandycardia

question

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...

answer

Atrioventricular node (AV)

question

Earliest sign of heart failure

answer

Auscultation of S3 Heart sounds

question

Thickest layer of the heart

answer

myocardium

question

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?

answer

Client has an increased chest diameter

question

Rate speeds with inspiration and slows with exhalation. This could be recognized as...

answer

Sinus arrhythmia

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question

The anterior chest area that overlies the heart and great vessels is called the

answer

precordium

question

The bicuspid, or mitral, valve is located

answer

between the left atrium and the left ventricle

question

The semilunar valves are located

answer

at the exit of each ventricle at the beginning of the great vessels

question

The sinoatrial node of the heart is located on the

answer

posterior wall of the right atrium

question

The P-wave phase of an ECG represents

answer

conduction of the impulse throughout the atria

question

During a cardiac examination, the nurse can best hear the S1 heart sound by placing the stethoscope at the client's

answer

apex of the heart

question

The S4 heart sound can be heard

answer

during diastole

question

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

answer

angina

question

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

answer

high serum level of low-density lipoproteins

question

The nurse is planning a presentation about coronary heart disease for a group of middle-aged adults. What should be in the teaching plan?

answer

lowering elevated cholesterol and BP decreases the risk of heart attack

question

The nurse is preparing to assess the cardiovascular system of an adult client with emphysema. It may be difficult to hear the client's

answer

apical pulse (left MCL)

question

The nurse is planning to auscultate a female adult client's carotid arteries. The nurse should plan to

answer

ask the client to hold her breath

question

While assessing an older adult client, the nurse detects a bruit over the carotid artery. A bruit is...

answer

associated with occlusive arterial disease

question

Client's jugular veins are fully extended. These signs are indicative of

answer

increased venous pressure

question

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...

answer

cardiac murmur

question

The nurse is auscultating the heart sounds of an adult client. To auscultate Erb point, the nurse should place the stethoscope at the...

answer

third to fifth intercostal space at the left sternal border

question

While auscultating an adult client's heart rate and rhythm, the nurse detects an irregular pattern. The nurse should..

answer

refer the client to a physician

question

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...

answer

recognize that this finding is normal in adolescents

question

answer

mitral valve stenosis

question

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...

answer

obstructed lung disease

question

Assessment technique most often associated with evaluation of the cardiac system

answer

auscultation

question

event of the heart when contraction go the ventricles forces blood into major arteries "lub" S1

answer

systole

question

Ventricles relax and pressure drops. Closing of semilunar valves "dub"

answer

diastole

question

Abnormal heart sounds are heard due to improper opening or closing of valves called

answer

murmurs

question

Palpable murmur described as feeling like the throat of a purring cat

answer

thrill

question

Audible variation between closure of two valves

answer

splitting

question

Area of auscultation located at the second ICS and left sternal border

answer

pulmonic

question

Localized area of tissue necrosis caused by prolonged anoxia (no oxygen)

answer

infarct

question

Area of auscultation located in the apex and assessing the left ventricle, fourth to fifth ICS at the left midclavicular line

answer

Mitral

question

Area of Auscultation at the second ICS and right sternal border

answer

Aortic

question

Part of the stethoscope used to auscultate normal heart sounds

answer

diaphragm

question

The portion of the stethoscope used to assess for murmurs

answer

Bell

question

Records electrical activity of the heart, shows different aves, used to assess hearts ability to perform impulses

answer

ECG (Electrocardiogram)

question

Total Cholesterol Levels

answer

< 200 Mg/dL

question

Low Density Lipoproteins

answer

< 100 mg/dL (bad) (too high risk of coronary heart disease)

question

High Density Lipoproteins

answer

> 60 mg/dL (good)

question

Triglyceride

answer

<150 mg/dL

question

Order 5 areas for listening of the heart

answer

Aortic, Pulmonic, Erb's Point, Tricuspid, Mitral

question

Pulse Amplitude Scale

answer

0= absent, 1+weak, 2+ normal, 3+ increased, 4+ bounding

question

Black males have lower resting heart rate than

answer

white males

question

Client has chest pain, elevated blood pressure and shortness of breath with activity. Carotid Arteries are 1+ bilaterally, Grade 3 systolic murmur. diagnosis...

answer

Ineffective Tissue Perfusion

question

To assess the function of the right side of the heart, the nurse should perform which party of the heart and neck vessel assessment?

answer

Jugular venous pulse

question

Clients heart rate of 56 beats per minute. How should this be documented?

answer

Brandycardia

question

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...

answer

Atrioventricular node (AV)

question

Earliest sign of heart failure

answer

Auscultation of S3 Heart sounds

question

Thickest layer of the heart

answer

myocardium

question

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?

answer

Client has an increased chest diameter

question

Rate speeds with inspiration and slows with exhalation. This could be recognized as...

answer

Sinus arrhythmia

Health Assessment Chapter 21 Assessing Heart and Neck Vessels – Flashcards

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