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NUR 101 FINAL
EXAM WITH CORRECT SOLUTIONS.
what would be noted as a "0" in regards to grading muscle strength? - correct answer- No movement
what would be noted as a "1" in regards to grading muscle strength? - correct answer- trace movement may be palpable or visible
what would be noted as a "2" in regards to grading muscle strength? - correct answer- movement possible with support, without gravity
what would be noted as a "3" in regards to grading muscle strength? - correct answer- Can raise arm against gravity but not against resistance
what would be noted as a "4" in regards to grading muscle strength? - correct answer- movement possible against gravity and against minimal resistance
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what would be noted as a "5" in regards to grading muscle strength? - correct answer- normal full movement, strength against gravity and against full resistance
where do you locate the apical pulse? - correct answer- PMI PMI- point of maximum impact-loudest 5th intercostal space left sternal border mid clavicular line
Where is the best place to hear a murmur? - correct answer- Erb's point-the third intercostal space, on the left side of the sternum,
murmur:blowing/swooshing noise from blood turbulence in the
chambers of the heart (wall defect) or valve problem (stenosis or regurgitation)
what causes the s1 heart sound? - correct answer- tricuspid and mitral valves closing "Lub"
what causes s2 heart sound? - correct answer- aortic and pulmonic valves shutting "DUB"
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