Question

tent Add-ins Media Comments Header & 1. The assessment of the cardiovascular system is useful in both expected and unexpected findings. True False 2. Cardiac auscultation areas represent which of the following? a anatomic location of valves and chambers b. an arbitrary designation of pattern for organized auscultation specific locations for best hearing physiological and/or adventitious hear sounds C. 3. What are some of the factors contributing to African Americans experiencing an increased risk for coronary artery disease? Provide at least three. 4. During the cardiovascular assessment describe what should be recorded under the following General characteristics: Carotid artery and jugular veins: Abdominal vessels: Peripheral circulation 5. The nurse is assessing for peripheral vascular disease (PVD). Which assessment findings would indicate the presence of PVD? PVD-arterial PVD-venous 6. How would a nurse assess for the presence of intermittent claudication? What is unique about the manifestation of intermittent claudication?

Answer 1

1. The assessment of the cardiovascular system can identify the potential problem in the future ,existing problems of the patient. The rate, rhythm, conduction ,electrical activity of the heart can be assessed and be helpful in the identification of a disease

Ans:True

2.The auscultation of the heart or the cardiovascular system is carried out based onnthe anatomical location of the valves and chambers.They are used to identify the aortic,pulmonary, erb's point ,tricuspid and mitral valve in the heart.Changes in the functions can be assessed easily by ausculting these points or area on the chest.

Ans:a.anatomical locations of the heart and chambers

3.Some of the factors contributing to the high coronary artery disease I'm the African-Americans are

• Family history
• Lifestyle :smoking
• Obesity, Diabetes ,Hypertension, high LDL level

4.General characteristics

• Inspection :assess the movement of the thorax for symmetry
• Eyes: yellowish skin around the eyes (CAD,Atherosclerosis ) grey area around the iris (lipid alterations)
• Skin:edema,colour,texture
• Nails:clubbing of fingers (hypoxemia)
• Veins:distension
• Percussion :To assess presence of fluid collections
• Auscultation :To rule out heart sounds ,murmers
• Blood pressure monitoring, pulse checking

Carotid artery and jugular vein :the distension of jugular vein indicates increased central venous pressure in the right atrium.A brunt in the Carotid artery inducates normal flow of blood via the artery.

Abdominal vessels:fluid overload can be assesed here by presence of ascities. .

Peripheral circulation :clubbing of nails and ties unduvates a poor perioheral circulation and can be a sign of claudications, underlying medical conditions etc.,They are observed for thrombophelbitis, ateriovenous insufficiency, varicosities.