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In: Nursing

Head Neck Veins. (NEED ONLY ANSWERS NO EXPLANATION) Q1) Which of the following are modifiable risk...

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

b. Shortness of breath

c. Fatigue

d. Edema

e. cardiac risk factors

f. heart rate and rhythm

Q3) Where is the point of maximal impulse palpated in an adult?

a. 5th intercostal space, mid-clavicular line

b. 5th intercostal space, left sternal border

c. 4th intercostal space, mid-clavicular line

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

B.

identify S1 and S2

C.

Listen for a carotid bruit

D.

listen for murmurs

E.

Note the rate and rhythm

F.

listen for extra heart sounds

Q5) Match the location on the thorax with the auscultatory valve area

      -       A.       B.       C.       D.   

second right interspace

      -       A.       B.       C.       D.   

second left interspace

      -       A.       B.       C.       D.   

left sternal border, 5th intercostal space

      -       A.       B.       C.       D.   

fifth interspace, left midclavicular line

A.

aortic valve area

B.

pulmonic valve area

C.

tricuspid valve area

D.

mitral valve area

Q6) Which heart sound is associated with heart failure?

a. S3

b. Systolic murmur

c. S4

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.

B.

Ask the client to take a breath, exhale and hold it briefly while you listen with the bell of the stethoscope

C.

Ask the client to take a breath, exhale and hold it briefly while you listen with the diaphragm of the stethoscope.

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

The fifth, left intercostal space

The 6th, left intercostal space

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

supine with head of bed flat

right side lying position to assess the left jugular vein

supine with head of bed at 90 degree elevation

Solutions

Expert Solution

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.


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