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