ASSESSMENT ACTUAL EXAM WITH

AHN 568 USA HEALTH Hx, CV/PV

ASSESSMENT ACTUAL EXAM WITH

340 QUESTIONS AND CORRECT ANSWERS |

ALREADY GRADED A+ | GUARANTEED

PASS | ANSWERS THEN QUESTIONS | AHN

568 FINAL LATEST EXAM [NEW]

Where do you auscultate a carotid bruit?- ANSWER- at the bifurcation ask patient to hold their breath, you hold your breath at same time so you don't forget - ANSWER- How can you eliminate airway sounds during a carotid exam?

tamponade situation - ANSWER- What would it indicate if the amplitude is variable with respirations during carotid auscultation?

medial to the sternocleidomastoid muscle in the neck - ANSWER- where do you gently palpate during a carotid exam?

vagal stimulation; only palpate one side at a time to avoid vagal stimulation, should be 2+/4+ - ANSWER- What should you always avoid during a carotid exam?

amplitude - ANSWER- Thready and bounding are examples of _____ during carotid palpation

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upstroke - ANSWER- brisk, delayed are examples of ____ descriptor during carotid palpation

thrills: a vibratory sensation - ANSWER- dont forget to palpate for ____ during a carotid exam, which are common with aortic stenosis

PMI (apical pulse), visual scars from any heart sgxs - ANSWER- what are you inspecting in a precordium assessment?

over the apex in the supine position - ANSWER- where is the PMI visualized during inspection?

apex, left sternal border, base, and all over vavlular/precordial regions; lifts/heaves; thrills; PMI at 5th ICS MCL - ANSWER- What are you palpating in the precordium exam?

utilize the palmar surface of the hand; felt as rhythmic impulses; signify an enlarged LA/LV - ANSWER- How do you palpate lifts/heaves? What do they feel like? What do they signify?

utilize ball of the hand; produces a vibratory sensation; signify presence of valvular dysfunction - ANSWER- How do you palpate thrills? What do they feel like?What do they signify

it may or may not be palpable; produced by LV contraction against the chest wall; left lateral decubitus position helps; found at 5th ICS MCL - ANSWER- is the PMI palpable? What is it produced by? What position helps with palpating it? Where is it found?

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fatigue, weight gain, edema imprints from tight clothes - ANSWER- what are common areas of health history in general ROS you would address?

chest pain, palpitations, arrhythmias, syncope - ANSWER- what are common areas of health history in CV ROS you would address?

PE, indigestion, spinal nerve issues can cause radiating thoracic pain - ANSWER- what are causes of chest pain?

most common cause is cardiogenic which is vasovagal, get orthostatic BP - ANSWER- what are causes of syncope?

does it flutter up to your throat? can you feel it beating out of your chest? do you know when you have the arrythmia? - ANSWER- what are we asking the patient with arrhythmias?

edema, extremity pain/weakness, loss of hair, cold extremities, claudication, cyanosis, pallor, ulcerations, wounds, redness - ANSWER- what are common areas of health history in PV ROS you would address?

dyspnea, cough, orthopnea, paroxysmal nocturnal dyspnea - ANSWER- what are common areas of health history in pulmonary ROS you would address?

abd/back pain (could be caused from AAA), food associated with pain, melena - ANSWER- what are common areas of health history in abdominal ROS you would address?

pulse/BP, carotid arteries & jugular veins, precordium, abdominal bruits, upper extremities, lower extremities - ANSWER- what are the areas covered in the regional CV/PV assessment? 3 / 4

check in both arms, could be subclavian steel syndrome - ANSWER- if an aortic issue is suspected, how would you check the BP?

JV pressure, JV pulsations - ANSWER- what two things are you inspecting on the jugular venous exam?

45 degrees - ANSWER- how high should the HOB be elevated to inspect JV pressure?

right IJ - ANSWER- what would you utilize to locate the highest oscillation point?

in the vicinity of the suprasternal notch - ANSWER- where should the highest oscillation point be upon JV pressure inspection?

horizontally; vertically - ANSWER- place a card _____ from the oscillation point; place a ruler (cm) _____ vertically from the angle of louis to form a right angle with the card

+5 - ANSWER- measure the vertical distance on the ruler _____ to account for placement above the RA=JVP in cm

>8cm above the RA or >3cm above the sternal angle - ANSWER- what is considered an elevated JV pressure?

amplitude and timing; also check HJR - ANSWER- What are two important things to note in an inspection for JV pulsations?

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