The sound of a slamming door
These create the heart sounds.
What are valves?
In preparing to perform a cardiovascular assessment, the nurse should initially place the client in which position?
What is sitting upright?
What is the correct order of assessment for respiratory?
What is inspect, palpate, percuss, and auscultation?
Which assessment finding is an objective sign of chronic oxygen deprivation?
A. Continuous productive cough
B. Clubbing and barrel shaped chest
C. Audible wheezes
D. Chest pain that increases with deep inspiration
What is B?
This valve makes the "lub" sound.
What is the tricuspid and mitral valves?
The patient has history of mitral valve regurgitation, the nurse would confirm the presence of a murmur at which location on the anterior chest?
What is the apex?
Which of the following complications is indicated by a third heart sound (S3)?
A. Ventricular dilation
B. Systemic hypertension
C. Aortic valve malfunction
D. Increased atrial contractions
What is A?
Rapid filling of the ventricle causes vasodilation that is auscultated as S3.
Is breathlessness a subjective or objective data?
What is subjective?
This valve makes the "dub" sound
What is the aortic and pulmonic valves?
The nurse is assessing a client who has a low-pitch murmur. What is the most appropriate way for the nurse to position the client to auscultate the murmur?
What is on the left lateral side using the bell of the stethoscope?
Which of the following cardiac conditions does a fourth heart sound (S4) indicate?
A. Dilated aorta
B. Normally functioning heart
C. Decreased myocardial contractility
D. Failure of the ventricle to eject all of the blood during systole
What is D?
An S4 occurs as a result of increased resistance to ventricular filling after atrial contraction. The increased resistance is related to decreased compliance of the ventricle. A dilated aorta doesn't cause an extra heart sound, though it does cause a murmur. Decreased myocardial contractility is heard as a third heart sound. An S4 isn't heard in a normally functioning heart.
What is the term for breathlessness?
What is dyspnea?
The right ventricle pushes blood through this valve.
What is the pulmonic valve?
The nurse is assessing a patient for heart sounds, which of the following is the most accurate?
A. S1 is louder than S2 at the base
B. S2 is louder than S1 at the apex
C. S1 coincides with the carotid artery pulse
D. S2 coincides with the R wave if the person is on an EKG monitor.
What is C?
S1 is louder at the apex and S2 is louder at the base. The pulse you feel when assessing the carotid is S1 sound. S1 coincides with the R wave, not S2.
The nurse is teaching a client about breathing exercises. Which of the following promotes the best lung function?
A. Diaphragmatic breathing
B. Chest breathing
C. Tripod breathing
D. Pursed lip breathing
What is D?
Pursed lip breathing encourages slowly breathing in through nose and slowly exhaling through mouth for full lung expansion.
I am a small clicking, bubbling, or rattling sound that occurs when a person inhales. What am I?
What are Rales?
The left ventricle pushes blood through this valve.
What is the aortic valve?
Name the landmarks for aortic valve, pulmonic valve, tricuspid valve, and mitral valve.
What is:
second right intercostal space- Aortic
second left intercostal space- Pulmonic
Left lower sternal border- Tricuspid valve
Fifth intercostal at left midclavicular line- Mitral valve
What are you assessing for inspection, palpation, percussion, and auscultation in respiratory? (list everything out)
What is inspect posterior and anterior biting the shape, configuration, symmetry of thoracic cage, quality of respirations, skin color, and patient position for breathing?
What is chest expansion, masses, lumps, tenderness, or fremitus?
What is resonance?
What is presence and quality of breath sounds?
I am a high-pitched, whistling sound that occurs when the bronchial tubes narrow, usually when exhaling. What am I?
What is a wheeze?