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14 Cards in this Set
- Front
- Back
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Fully distended jugular veins with the client’s torso elevated more than 45 degrees indicate increased central venous pressure that may be the result of |
right ventricular failure, pulmonary hypertension, pulmonary emboli, or cardiac tamponade.
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Clients with obstructive pulmonary disease may have |
elevated venous pressure only during expiration.
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an inspiratory increase in venous pressure, called Kussmaul’s sign, may occur in clients with |
severe constrictive pericarditis |
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a bruit, a blowing or swishing sound caused by turbulent blood flow through a narrowed vessel, is indicative of |
occlusive arterial disease.
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weak pulses may indicate |
hypovolemia shock decreased CO |
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a bounding firm pulse may indicate |
hypervolemia increased CO |
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A delayed upstroke may indicate |
aortic stenosis |
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loss of elasticity may indicate |
arteriosclerosis |
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a heave or lift may occur as a result of |
an enlarged ventricle from an overload of work |
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suspect cardiac enlargement when |
the apical impulse is larger than 1-2 cm, displaced, more forceful or longer duration |
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A pulse deficit (difference between the apical and peripheral/radial pulses) may indicate |
atrial fibrillation, atrial flutter, pre- mature ventricular |
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t or f |
any split S2 heard in expiration is abnormal. the abnormal split can be one of three types: wide, fixed, or reversed. |
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t or f |
a split S2 (into two distinct sounds of its components—A2 and p2) is normal and termed physiologic splitting. |
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