In: Nursing
Head Neck Veins. (NEED ONLY ANSWERS NO EXPLANATION)
Q1) Which of the following are modifiable risk factors for myocardial infarction (MI)? Select all that apply.
A. Diabetes
B. Obesity
C. Age
D. abnormal lipids
E. Hypertention
F. Gender
G. Smoking
Q2) When obtaining subjective inormation related to the heart, what information will the nurse obtain? (select all that apply)
a. Chest pain |
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b. Shortness of breath |
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c. Fatigue |
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d. Edema |
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e. cardiac risk factors |
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f. heart rate and rhythm |
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Q3) Where is the point of maximal impulse palpated in an adult?
a. 5th intercostal space, mid-clavicular line |
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b. 5th intercostal space, left sternal border |
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c. 4th intercostal space, mid-clavicular line |
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d. 4th intercostal space, left mid-axillary line |
Q4) When ausculatating the heart, the nurse will listen for the following: (select all that apply)
A. |
listen for wheezes and rhonchi |
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B. |
identify S1 and S2 |
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C. |
Listen for a carotid bruit |
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D. |
listen for murmurs |
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E. |
Note the rate and rhythm |
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F. |
listen for extra heart sounds |
Q5) Match the location on the thorax with the auscultatory valve area
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Q6) Which heart sound is associated with heart failure?
a. S3 |
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b. Systolic murmur |
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c. S4 |
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d. Diastolic murmur |
Q7) Which technique is used to auscultate the carotid arteries?
A. |
Ask the client to take a breath and hold it briefly while you listen with the bell of the stethoscope. |
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B. |
Ask the client to take a breath, exhale and hold it briefly while you listen with the bell of the stethoscope |
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C. |
Ask the client to take a breath, exhale and hold it briefly while you listen with the diaphragm of the stethoscope. |
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D. |
Ask the client to take a breath and hold it briefly while you listen with the diaphragm of the stethoscope |
Q8) Where is the apex of the heart located in an infant?
The fourth, left intercostal space |
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The fifth, left intercostal space |
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The 6th, left intercostal space |
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The fourth, right intercostal space |
Q9) What is the proper patient position that is used for assessment of jugular veins?
supine with head of bed at 30 to 45 degrees elevation |
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supine with head of bed flat |
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right side lying position to assess the left jugular vein |
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supine with head of bed at 90 degree elevation |
QUESTION 1
The modifiable risk factors of myocardial infarction are diabetes obesity,abnormal lipids,hypertension and smoking.
QUESTION 2
The subjective information related to heart are chest pain ,cardiac risk factors ,shortness of breath, fatigue
QUESTION 3
Point of maximum impulse is at 5th intercostal space midclavicular line.
QUESTION 4
Listen for S1,S2,listen for extra heart sounds listen for murmurs,listen for carotid bruit.
QUESTION 5
Aortic area - Second right intercostal space
Pulmonic area - Second left intercostal space
Tricuspid area - left sternal border 5th intercostal space
Mitral area - 5th intercostal space , left midclavicular line.
QUESTION 6
S3 is heard in heart failure.
QUESTION 7
Ask the patient to take a breath and hold it briefly while you listen with the bell of the stethoscope.
QUESTION 8
The fourth left intercostal space.
QUESTION 9
Supine with head of the bed at 30 to45 degree elevation.