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

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precordium

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The bicuspid, or mitral, valve is located

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between the left atrium and the left ventricle

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The semilunar valves are located

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

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The sinoatrial node of the heart is located on the

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posterior wall of the right atrium

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The P-wave phase of an ECG represents

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conduction of the impulse throughout the atria

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

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apex of the heart

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The S4 heart sound can be heard

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during diastole

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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

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angina

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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

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high serum level of low-density lipoproteins

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

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lowering elevated cholesterol and BP decreases the risk of heart attack

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

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apical pulse (left MCL)

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

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ask the client to hold her breath

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

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associated with occlusive arterial disease

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

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increased venous pressure

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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...

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cardiac murmur

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

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third to fifth intercostal space at the left sternal border

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

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refer the client to a physician

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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...

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recognize that this finding is normal in adolescents

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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...

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mitral valve stenosis

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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...

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obstructed lung disease

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Assessment technique most often associated with evaluation of the cardiac system

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auscultation

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

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systole

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

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diastole

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

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murmurs

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

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thrill

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Audible variation between closure of two valves

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splitting

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

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pulmonic

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

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infarct

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

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Mitral

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Area of Auscultation at the second ICS and right sternal border

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Aortic

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Part of the stethoscope used to auscultate normal heart sounds

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diaphragm

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The portion of the stethoscope used to assess for murmurs

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Bell

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

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ECG (Electrocardiogram)

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Total Cholesterol Levels

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< 200 Mg/dL

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Low Density Lipoproteins

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

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High Density Lipoproteins

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> 60 mg/dL (good)

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Triglyceride

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<150 mg/dL

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Order 5 areas for listening of the heart

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

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Pulse Amplitude Scale

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

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Black males have lower resting heart rate than

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white males

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

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Ineffective Tissue Perfusion

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

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Jugular venous pulse

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

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Brandycardia

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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...

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Atrioventricular node (AV)

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Earliest sign of heart failure

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Auscultation of S3 Heart sounds

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Thickest layer of the heart

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myocardium

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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?

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Client has an increased chest diameter

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

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Sinus arrhythmia

Health Assessment Chapter 21 Assessing Heart and Neck Vessels – Flashcards

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