Complete Solutions
1. What are the modifiable risks of CAD (coronary artery
disease) Correct Answers Smoking, obesity, hypertension, high
cholesterol, diabetes
10. What is a murmur? Correct Answers Occurs with turbulent
blood flow in the heart - Blowing, swooshing sound
11. What is pericardial friction rub? Correct Answers
Inflammation of the pericardium gives rise to friction rub - High
pitched and scratchy, heard with a diaphragm when a person is
sitting up
12. What are the locations of the heart valves? Correct Answers
Aortic: second right interspace -----Pulmonic: second left
interspace-------- Erbs: third left interspace----- Tricuspid: left
lower sternal border ----- Mitral: Fifth interspace around the left
midclavicular line
13. What should you do when you hear a split S2 and when does
it occur? Correct Answers Concentrate on the split as you
watch the person's chest rise up and down with normal
breathing---Every fourth heartbeat fading in with inhalation and
fading out with exhalation
14. What should you NOT do when hearing a split S2? Correct
Answers DO NOT have the person hold their breath-- Breath-
holding only equalizes ejection times in the right and left sides
of the heart and causes the split to go away.
, 15. What is a thrill? Correct Answers Palpable vibration, feels
like the throat of a purring cat
16. What is a thrill caused by? Correct Answers Turbulent
blood flow and directs you to locate the origin of loud murmurs
18. What is apical impulse and how to assess it? Correct
Answers Palpate left of the sternal border down the
midclavicular line between the 4th and 5th intercoastal space.
19. What position should you have a patient in when estimating
jugular venous pressure? Correct Answers 45 degrees
2. Does pain always mean cardiac reasons? What should you ask
if patient is experiencing chest pain? Correct Answers NO - Is
it sudden? What brings it on?
20. How much exercise should you teach your patient? Correct
Answers 5 times a week, at least 30 minutes each time
21. Why should patients take low-dose aspirin every day?
Correct Answers Control BP
22. What should you teach if the patient smokes? Correct
Answers Teach about smoking cessation and exercise
23. What are key expected findings Correct Answers cardiac-
wise, in an older patient?, Increase in systolic pressure from
arteriosclerosis - The presence of supraventricular dysrhythmias