Heart and Vessels

Pulse Amplitude Scale

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

Low Density Lipoproteins

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

Total Cholesterol Levels

< 200 Mg/dL

Triglyceride

<150 mg/dL

High Density Lipoproteins

> 60 mg/dL (good)

Area of Auscultation at the second ICS and right sternal border

Aortic

Order 5 areas for listening of the heart

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

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

The portion of the stethoscope used to assess for murmurs

Bell

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

Brandycardia

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

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

ECG (Electrocardiogram)

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

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

Mitral

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

Sinus arrhythmia

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

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 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

The semilunar valves are located

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

Assessment technique most often associated with evaluation of the cardiac system

auscultation

The bicuspid, or mitral, valve is located

between the left atrium and the left ventricle

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 P-wave phase of an ECG represents

conduction of the impulse throughout the atria

Part of the stethoscope used to auscultate normal heart sounds

diaphragm

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

diastole

The S4 heart sound can be heard

during diastole

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

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

increased venous pressure

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

infarct

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

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

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

murmurs

Thickest layer of the heart

myocardium

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

The sinoatrial node of the heart is located on the

posterior wall of the right atrium

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

precordium

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

pulmonic

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

refer the client to a physician

Audible variation between closure of two valves

splitting

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

systole

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

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

thrill

Black males have lower resting heart rate than

white males