NURS 612 EXAM 1 MARYVILLE UNIVERSITY ADVANCED HEALTH ASSESSMENT EXAM

What is S4 indicative of? - CORRECT ANSWER - In the 2nd phase of ventricular filling, vibration in the valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation. State the order of the abdominal exam? - CORRECT ANSWER - Inspect, auscultate, percuss, and palpate The tonsil assessment, state how tonsils are graded, and the exam documented? - CORRECT ANSWER - Grade +1-+4. 1+ visible, 2+ halfway between tonsillar pillars and the uvula, 3+ nearly touching the uvula, 4+ touching each other. Sinuses- How do you assess the sinuses? Anatomical location of the sinuses on the face. Name the sinus cavities. - CORRECT ANSWER - Assessment: inspect for swelling, tenderness, and pain by palpating, frontal with thumbs, and either side of the nose, zygomatic processes, and maxillary sinus, with thumbs or index finger-positive findings indicate obstruction or infection.