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Test Bank Bates Nursing Guide to Physical Examination and History Taking 3rd Edition by Beth Hogan-Quigley , Mary Louis Palm Chapter 1-24 | 9781975161095 | All Chapters with Answers and Rationals

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Test Bank Bates Nursing Guide to Physical Examination and History Taking 3rd Edition by Beth Hogan-Quigley , Mary Louis Palm Chapter 1-24 | 9781975161095 | All Chapters with Answers and Rationals

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Test Bank Bates Nursing Guide to Physical Examination and
History Taking 3rd Edition by Beth Hogan-Quigley , Mary Louis
Palm Chapter 1-24 | 9781975161095 | All Chapters with
Answers and Rationals

When noting general appearance, be sure to note - ANSWER: patient's color, respiratory rate, and
level of anxiety in addition to blood pressure and heart rate

How long should patient be resting before obtaining a blood pressure? - ANSWER: 5 minutes

How is the JVP best assessed? - ANSWER: from pulsations in the right internal jugular vein

Which age group does not benefit from inspection of the jugular vein? - ANSWER: children under 12
years of age

The dominant movement of the JVP is - ANSWER: inward

The dominant movement of the carotid pulse is - ANSWER: outward

To estimate the level of the JVP, learn to find the - ANSWER: highest point of oscillation in the internal
jugular vein

The JVP is usually measured in vertical distance above the - ANSWER: sternal angle

Characteristics of the internal jugular pulsations - ANSWER: rarely palpable, inward deflection,
eliminated by light pressure, height of pulsation changes with position, height falls with inspiration

Characteristics of the carotid pulsations - ANSWER: palpable, outward, not eliminated by pressure,
height unchanged by position, height not affected by inspiration

What is the usual starting position of the bed for assessing JVP? - ANSWER: 30 degrees

Which side of the neck should you assess for JVP? - ANSWER: right

Where is the JVP located? - ANSWER: highest oscillation point, or meniscus of the pulsations

If you think JVP will be low.... - ANSWER: lower head of bed, sometimes to 0 degrees

JVP > _____ is considered elevated above normal - ANSWER: 3 cm

An elevated JVP is highly correlated with both - ANSWER: acute and chronic heart failure

What is the most feared complication of carotid artery palpation? - ANSWER: dislodgment of an
atherosclerotic plaque which could result in stroke

If is important to auscultate the carotid arteries prior to - ANSWER: palpating the carotid pulse

What is a bruit? - ANSWER: murmur like sound from turbulent arterial blood flow

How to listen for a carotid bruit? - ANSWER: ask the patient to stop breathing for about 10 seconds,
listen with diaphragm

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