EXAM 4 cardiac quiz

murmur

a blowing or whooshing sound heard on auscultation of the precordium; signifies turbulent blood flow in the heart caused by a valvular defect

thrill

a sensation of vibration felt on palpation, such as over the heart during loud, harsh cardiac murmurs

A nurse is assessing a patient for pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following notations should the nurse use to document the severity of the patient's edema?

3+

While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. How should the nurse document this finding?A. A systolic murmurB. A third heart sound (S3)C. An expected heart soundD. A fourth heart sound (S4)

A systolic murmur

When assessing the carotid artery, the nurse should palpate:

Medical to the sternomastoid muscle, one side at a time.

A nurse is performing a cardiac assessment on a client and auscultates an S3 sound. The nurse should recognize that this sound represents which of the following heart conditions? A) Atrial gallop B) Ventricular gallop C) Closure of the mistrial valves D) Closure of the pulmonic valves

B) Ventricular gallop

A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instructions? A. Wraps the blood pressure cuff snugly around the client's arm B. Places the client's arm above the level of the client's heart C. Checks the instrument gauge to ensure the reading starts at zero D. Centers the cuff bladder over the clients brachial artery

B. Places the client's arm above the level of the client's heart

A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical examination. The client's BP is 142/88 mm Hg, his body mass index (BMI) is 31, and he is a current smoker. The nurse should identify that this client has multiple risk factors for which of the following disorders?

Cardiovascular Disease

The nurse auscultates the pulmonic valve area in which region?

Second left interspace

A nurse is performing an admission assessment on a client. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Skin tenting present

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

The left second intercostal space

When auscultating the heart, your first step is to: a) identify S1 and S2. b) listen for S3 and S4. c) listen for murmurs. d) identify all four sounds on the first round.

a) identify S1 and S2.

The precordium is: a) a synonym for the mediastinum. b) the area on the chest where the apical impulse is felt. c) the area on the anterior chest overlying the heart and great vessels. d) a synonym for the area where the superior and inferior venae cavae return unoxygenated venous blood to the right side of the heart

c) the area on the anterior chest overlying the heart and great vessels.

the second heart sound is the result of

closing of the aortic and pulmonic valves

A blowing or swishing sound heard in an artery indicating turbulent blood flow is called a Bruit.

false - it's murmur