Health assessment Exam 2

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How many steps and names to the steps of Auscultating HEART SOUNDS? - Acronym is APETM 1. Aortic area- 2nd intercostal space, right of sternal border 2. Pulmonic Area- 2nd intercostal space left ste... rnal border 3. Erb's point- 3rd intercostal space at the left sternal border 4. Tricuspid area- 4th or 5th intercostal space at the left lower sternal border. 5. Mitral- 5th intercostal space near the left midclavicular line, apex of the heart How many spots are there to check doing lung sounds posterior and anterior? - 10 spots in front and 18 spots on back what is Bronchophony - Ask the PT to say 99 while you listen with a stethoscope. If abnormal it will sound more distinct through the stethoscope then normal. What is egophony - Ask PT to pronounce 'ee-ee-ee--ee" sound. If the noise changes, it is abnormal. What is bruit - Abnormal blowing or swishing sound due to an abnormal narrowing of an artery. Pulse amplitude scale - 0= absent 1+= weak 2+= normal 3+= Increased 4+= bounding Which question will give the nurse additional information about the nature of a patient's dyspnea? - "How has this condition affected your day-to-day activities?" A patient complains of shortness of breath and having to sleep on three pillows to breathe comfortably at night. During the nurse's examination, what findings will suggest that the cause of this patient's dyspnea is due to heart disease rather than respiratory disease? - Bilateral peripheral edema A patient is admitted to the emergency department with a tracheal obstruction. What sound does the nurse expect to hear as the patient breathes? - High-pitched sounds on inspiration and expiration. Where does a nurse expect to hear bronchovesicular lung sounds in a healthy adult? - Near the sternal border [Show More]

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