6512 Final Exam Compiled Nurs 6512 Full Solution Pack Exams

6512 FINAL EXAM COMPILED NURS 6512 FULL SOLUTION PACK EXAMS NURS 6512 Final Exam Review (Week 7-11) Heart, Lungs, and Peripheral Vascular Examination techniques of the Heart, Lungs, and PV systems 1. Examination techniques of the Heart: Inspection - use tangential lighting; stand to the patients right, patient should sit erect and lean forward, lye supine, and left lateral recumbent position; apical pulse midclavicular line 5th left intercostal space; check the skin for cyanosis, venous distention, nail bed for cyanosis and capillary refill time Palpation - patient supine, palpate the precordium, use proximal halves of the 4 fingers or whole hand; being at apex, move inferior to left sternal border, then up the sternum to the base and down the right sternal border in the epigastrium or axillae; apical pulse seen at point of maximal impulse; feel for a thrill - fine, palpable, rushing, vibration, a palpable murmur, over the base of the heart; locate each sensation in terms of its intercostal space and relationship to the midsternal, midclavicular, or axillary lines; when palpating the precordium, use your other hand to palpate the carotid artery Percussion - limited value by defining the borders of the heart or determining its size