Nurs 612 Advanced Health Assessment Exam 2 (221 Questions And Answers) Great Solutions..

Which principle helps the examiner determine where heart sounds are best heard? a. The doppler effect diminishes the sound over time b. Sound is transmitted in the direction of blood flow c. Accumulation of fluid magnifies the intensity of sound d. Duration of sound varies directly with frequency {Ans: b. Sound is transmitted in the direction of blood flow}When evaluating respiratory complaints, what should you always ask the patient? {Ans: travel history & contact with sick people}To distinguish a heart murmur from respiratory sounds in an infant, the examiner could correctly do which of the following? a. Time the sound with the carotid pulsation b. Distract the child with a moving toy c. Ask the child to hold his or her breath d. Use the flat side of the stethoscope to auscultate the child's chest {Ans: a. Time the sound with the carotid pulsation}Subaortic Stenosis {Ans: *heard at apex and along left border * Fibrous ring, usually 1-4 mm below aortic valve *Most pronounced on ventricular septal side * May become progressively severe with time * Difficult to distinguish from aortic stenosis on clinical grounds alone}Systolic Click {Ans: *best heard in sitting or supine in