What part of the stethoscope is used to identify murmurs

Reference no: EM133511812

Question 1. Locate the heart locations: APETM, including S1/S2 sounds on pages 381, 384. Note the landmarks for each. Ex: Aortic is 2nd ICS, right sternal border (SB)

Where are S1/S2 sounds loudest and what is your rationale?

Where is the base and apex of the heart?

Question 2. Review the grading scale for heart murmurs on page 362.

a. What part of the stethoscope is used to identify murmurs?

b. What is the difference between grade 3 and 4?

Question 3. Review the peripheral pulse locations and the 4 characteristics of the pulses, including amplitude scale (p. 404).

a. Describe your technique for palpation of peripheral pulses.

Question 4. Review assessment of a pulse deficit (p. 384) and practice your assessment on another person or yourself.

a. Please confirm with a "yes" that you performed this assessment.

Question 5. Review Arterial and Venous Insufficiency of lower extremities (p. 413, 414).

a. List 3 signs or symptoms of arterial insufficiency:

b. List 3 symptoms of venous insufficiency:

Question 6. Review the Carotid Artery assessment (p. 384, 383) and find the landmarks for your carotid arteries.

a. Why is it important to auscultate before you palpate? (see lecture)

b. What instructions should you give the client with you auscultate?

Question 7. Study deep vein thrombosis (DVT) on pages 411 and 416. Be sure to know the signs and symptoms of DVT, including peripheral pulse expected findings.

a. List two risk factors for development of a DVT (see focused interview section of your textbook, Peripheral vascular chapter).

b. Would you perform the Homan's test on a client to assess for DVT (yes or no?) and what is your rationale for your answer.

Question 8. Read the textbook information on Jugular vein distention (JVD) on p. 379-380 and lecture slides.

a. What position would you place your client to assess for JVD?

b. If a client has JVD, what does this indicate?

Reference no: EM133511812

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