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Cardiovascular
Question | Answer |
---|---|
An irregular heartbeat that is often fast and increases the risk of heart attack or stroke. | Atrial fibrillation |
An irregular heartbeat that is often fast and increases the risk of heart attack or stroke. | The muscle fibers are overstretched or weakened, resulting in decreased force of contraction and ejected volume. |
What do you expect to find on your assessment when the nurse states the resident has "2+ pitting edema?" | Applied pressure leaves an indentation of 3-4 mm that rebounds in less than 15 seconds |
When auscultating to identify S1 and S2 heart sounds, which area would the nurse begin the auscultation? | Upper right sternal edge |
Over what period of time should the apical pulse be counted during a cardiovascular assessment? | 60 seconds |
When auscultating heart sounds, the first sound (S1) identifies the | Onset of systole |
Which of the following identifies a normal heart rate range for an adult patient? | 60—100 beats per minute |
Which of the following assessment findings would indicate to the nurse that the patient is experiencing a problem with perfusion? | Bluish discoloration of the skin |
The nurse is performing a cardiovascular assessment of an older adult patient, and finds an irregularly irregular rhythm, which may suggest which of the following conditions common in older adults? | Atrial fibrillation |
The nurse is assessing a patient's heart sounds and hears what sounds like sandpaper being rubbed together. How should the nurse document this sound? | Pleural friction rub |
Which of the following would the nurse identify as abnormal heart sounds? | S3, S4, Bruit |
The whiteness that occurs when pressure is placed on tissue or a nailbed, causing blood to leave the area | blanching |
A swishing sound when auscultating the carotid arteries. This indicates turbulence in the blood vessel due to atherosclerotic changes | bruit |
Clicking sound heard on auscultation of the precordium; often heard in patients with heart valve abnormalities | click |
A blood clot that forms in a vein deep in the body | Deep Vein Thrombosis (DVT) |
Shunt that connects the pulmonary artery and aorta in the developing fetus | ductus arteriosus |
A feeling of shortness of breath | dyspnea |
Palpable lifting sensation under the sternum and anterior chest wall to the left of the sternum; it suggests severe right ventricular hypertrophy | heaves |
Occurs when the increased pressure of the superior vena cava causes the jugular vein to bulge, making it most visible on the right side of a person's neck | Jugular Vein Distension (JVD) |
A blowing or whooshing sound heard on auscultation of the precordium that signifies turbulent blood flow in the heart often caused by a valvular defect | murmur |
A feeling of shortness of breath when lying flat | orthopnea |
A reduced amount of oxyhemoglobin in the skin or mucous membranes. Skin and mucous membranes present with a pale skin color | pallor |
An attack of severe shortness of breath that generally occurs at night | paroxysmal nocturnal dyspnea |
The amount of blood flow to tissue | perfusion |
Swelling due to an accumulation of fluid in tissues perfused by the peripheral vascular system | peripheral edema |
An accumulation of fluid in tissue and causes an indentation when the area is pressed | pitting edema |
Uncommon heart sounds produced when the parietal and visceral pericardium become inflamed, generating a creaky-scratchy noise as they rub together | pleural friction rub |
The region of the thorax in front of the heart | precordium |
A blood clot that lodges in one of the arteries that go from the heart to the lung | pulmonary embolism |
A temporary loss of consciousness usually related to insufficient blood flow to the brain | syncope |
A vibration felt with palpation of the precordium | thrill |