assessment of the heart

Question 1

Nurses assess the heart through observations in what sequence?

Answer 1

(inspection, palpation, and auscultation,

Question 2

The heart is usually assessed during what physical assement?

Answer 2

initial
physical assessment;

Question 3

what is necessary for long-term or at - risk clients or those with cardiac
problems.

Answer 3

periodic reassessment

Question 4

Heart examinations are usually performed in what position?

Answer 4

semi-reclined position.

Question 5

is a hollow, muscular, four-chambered organ located in the middle of the thoracic cavity between the lungs in the
space

Answer 5

Heart

Question 6

what is middle of the thoracic cavity between the lungs in the
space called

Answer 6

mediastinum.

Question 7

weight of the heart in women

Answer 7

255g (9oz) in women

Question 8

weight of the heart in men

Answer 8

310g
(10.9oz) in men.

Question 9

The upper portion of the heart (both atria), referred

Answer 9

its base,

Question 10

The lower portion (the ventricles),

Answer 10

referred to as its apex,

Question 11

This point where the apex touches the anterior chest wall
is known as

Answer 11

point of maximal impulse (PMI).

Question 12

The anterior chest area that overlies the heart and great vessels is called

Answer 12

precordium.

Question 13

located at the exit of each ventricle at the beginning of the great vessels.

Answer 13

semilunar valves

Question 14

located at the entrance of the pulmonary artery exits the right ventricle.

Answer 14

pulmonic valve

Question 15

aortic valve

Answer 15

-located at the beginning of the ascending aorta.

Question 16

Heartsounds are produced by

Answer 16

valve closure.

Question 17

The opening of valves is?

Answer 17

silent.

Question 18

Normal heart sounds, characterized as

Answer 18

“lub-dub” (S1 and S2),

Question 19

where can the extra heart sounds and murmurs
can be auscultated with stethoscope

Answer 19

precordium,

Question 20

The first heart sound

Answer 20

S1

Question 21

results from the closure of the AV valves

Answer 21

first heart sound (S1)

Question 22

results from the closure of the semilunar valves

Answer 22

The second heart sound (S2)

Question 23

semilunar valves

Answer 23

(aortic and pulmonary)

Question 24

AV valves

Answer 24

mitral and tricuspid valves.

Question 25

supplies oxygenated blood to the head and neck.

Answer 25

carotid arteries

Question 26

prolong occlusion of these arteries can result in serious brain damage.

Answer 26

carotid arteries

Question 27

it correlate with central aortic pressure, thus reflecting cardiac function better than the peripheral pulses.

Answer 27

carotid pulse

Question 28

The carotid is also auscultated for a

Answer 28

bruit

Question 29

(a blowing or a swishing sound).

Answer 29

bruit

Question 30

is created by turbulence of blood flow due either to a narrowed arterial lumen

Answer 30

bruit

Question 31

If a bruit is found, the carotid artery is then palpated for a

Answer 31

thrill

Question 32

is a vibrating sensation like the purring of a cat or water running through a hose.

Answer 32

thrill

Question 33

drains blood from the head and neck directly into the superior vena cava and right side of the heart.

Answer 33

jugular veins

Question 34

The external jugular veins are superficial and may be visible above the

Answer 34

clavicle.

Question 35

The internal jugular veins lie deeper along the

Answer 35

carotid artery

Question 36

external neck veins are distended and visible when a person?

Answer 36

lies down

Question 37

Bilateral jugular vein distension (JVD) may indicate

Answer 37

right-sided heart failure.

Question 38

Risks Factors:

Answer 38

Risk of coronary heart disease related to -hypertension, - increased low-density lipoprotein cholesterol and decreased high-density lipoprotein (HDL) cholesterol, -diabetes mellitus, -minimal exercise, -cigarette smoking, -diet high in saturated fat and trans fatty acid, -postmenopausal estrogen replacement (in females), -family history, and -upper body obesity.

Question 39

Usually heard at all sites. Usually louder at apical area

Answer 39

S1

Question 40

Usually heard at all sites. Usually louder at base of the heart

Answer 40

S2

Question 41

silent interval; slightly shorter duration than diastole at normal heart rate

Answer 41

Systole

Question 42

Normal heart rate of adult

Answer 42

(60 to 90 beats /min)

Question 43

silent interval; slightly longer duration than systole at normal heart rates

Answer 43

Diastole