Ch 20

Front 1

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

Back 1

Precordium

Front 2

The biscupid or mitral valve is located

Back 2

Between the left atrium and the left ventricle

Front 3

The semilunar valves are located

Back 3

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

Front 4

The sinoatrial node of the heart is located on the

Back 4

Posterior wall of the right atrium

Front 5

During a cardiac examination the nurse can best hear the S1 Heart sound by placing the stethoscope a the clients

Back 5

Apex of the heart

Front 6

The S4 heart sound can be heard

Back 6

During diastole

Front 7

An adult client visits the clinic and tells the nurse that she feels chest pain and pain down her left arm. The nurse should refer the client to a physician for possible ?

Back 7

Angina

Front 8

An adult client tells the nurse that his father died of a massive coronary attack at the age of 65 the nurse should explain to the client that one of the risk factors for coronary heart disease is

Back 8

High serum level of low density lipoproteins.

Front 9

When preparing to auscultate a clients carotid arteries the nurse should

Back 9

Ask the client to hold her breath.

Front 10

When assessing an older patient the nurse detects a bruit over the carotid artery the nurse explains to the patient that a bruit is

Back 10

Associated with occlusive arterial disease.

Front 11

If a patients jugular veins are fully extended what should the nurse do?

Back 11

Contact the physician because this is a sign of increased central venous pressure

Front 12

When 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 ?

Back 12

Cardiac murmur

Front 13

To auscultate Erb's point the nurse should place the stethoscope at the

Back 13

3rd to 5th intercostal space at the right sternal border.

Front 14

When a nurse detects an irregular patter the nurse should?

Back 14

refer the client to the physician

Front 15

When listening to a adolescents heart sounds the nurse detects an S3 sound at the beginning of the diastolic pause. What should the nurse do?

Back 15

This is a normal finding in adolescents.

Front 16

When assessing an adult pt 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 a usually indicative of?

Back 16

Mitral valve stenosis

Front 17

When a nurse detects paradoxical pulses during assessment the nurse should explain to the patient that paradoxical pulse is and indicator of ?

Back 17

Obstructive lung disease

Front 18

When the heart rate speeds up and slows down during a cycle this is known as?

Back 18

Sinus arrhythmia

Front 19

The 4th heart sound S4 is a ?

Back 19

Low frequency sound best heard with the bell of the stethoscope.

Front 20

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

Back 20

Pulmonic

Front 21

Part of the stethoscope used to auscultate normal heart sounds

Back 21

Diaphragm

Front 22

Localized area of tissue necrosis caused by prolonged anoxia

Back 22

infarct

Front 23

Assessment technique most often associated with evaluation of the cardiovascular system

Back 23

Auscultation