Physical assessment

Question 1

auscultation of a mitral gallop

Answer 1

1. turn patient to left side to hear mitral sounds better

2. use bell for gallop sounds (s3 and s4)

Question 2

abdominal bruit on a skinny old patient. what do you do

Answer 2

1.just document it unless there are other signs associated with it such as bruit/pain

Question 3

when is JVD normal

Answer 3

1. when the patient is lying flat (jugular veins are at the same level as the atrium)
2. during valsalva manuver (pressure in right atrium increases)

Question 4

holter monitor teaching

Answer 4

Home, continuous ECG monitoring

1. keep a log of your activity while you have the monitor on
2. do not shower

Question 5

what are thrills

Answer 5

palpable vibrations, indicating turbulent blood flow

Question 6

what assessment data will indicate MI

Answer 6

chest pain that has lasted longer then 20 minutes.

Question 7

expected vs nonexpected for TPA therapy

Answer 7

1. bleeding gums is ok

2. decrease in LOC may indicate an intracranial bleed