Week 4 Nr 509 Study Guide Rated A+

Major or Minor criteria for congestive heart failure {Ans: Weight loss of 4.5kg or more in 5 days in response to treatment}Auscultation in the cardiovascular exam {Ans: auscultate heart and lungs. occurs in both the sitting and lying positions as a change in position alters the position of the myocardium in relation to the chest wall and impacts the ability to hear certain sounds.}What are sounds on auscultation of a pediatric patient that indicate underlying heart disease? {Ans: Diastolic Harsh Grade III or higher No change with position or activity Click of snap opening, S3, S4 Fixed split S2}What are sounds on auscultation of a pediatric patient that indicate NO heart disease {Ans: Systolic Soft Grade II or less Exercise, anemia, fever make it louder No extra sounds Normal S2 with physiologic split on inspiration}Mitral Valve Location of sound and timing {Ans: Fifth intercostal space, mid-clavicular line. During S1}Techniques of Cardiovascular Exam {Ans: Upper body should be elevated 30 to 45 degrees If the client has large breasts, they must be repositioned to allow for a complete inspection of the chest. Assess for changes in the skin, nails, face, eyes, mouth, neck, chest configuration,