CV Week Health Assessment Worksheet

What are the 4 techniques used during health assessments?

• Inspection, Palpation, Percussion, Auscultation

• Observation, Measurement, Calculation, Evaluation

• Diagnosis, Treatment, Prevention, Rehabilitation

• Interviewing, Counseling, Testing, Monitoring

What do you think will be utilized for the CV System assessment?

• Inspection, Palpation, Auscultation

• X-ray, MRI, CT scan

• Blood test, Urinalysis, Biopsy

• Electroencephalogram, Spirometry, Colonoscopy

What is the expected finding/documentation when inspecting overall appearance and chest symmetry?

• Patient without distress. Chest Symmetric

• Patient in severe distress. Chest Asymmetric

• Patient with labored breathing. Chest sunken on one side

• Patient cyanotic. Chest with visible deformity

What would scars on the chest indicate?

What are lifts/heaves?

• Outward thrusting of the ventricle. Increased workload of the ventricles.

• A soft murmur heard best at the base of the heart. Indicates decreased cardiac output.

• A palpable thrill over the carotid artery. Indicates carotid stenosis.

• A retraction of the chest wall during inspiration. Indicates pleural effusion.

If lifts (aka heaves) are present, where do you expect to see it?

• 5th midclavicular line

• 2nd intercostal space

• left sternal border

• apex of the lung

What do we need to do for our patient’s position to inspect for JVD?

• Jugular Vein Distention. Position them in upright sitting or semi-Fowler’s (30-45 degree) position. Ask patient to move head to one side and using penlight inspect the exposed neck for JVD. Repeat on other side.

• Jugular Vein Distention. Position them in prone position and ask patient to look straight ahead while inspecting the neck for JVD.

• Jugular Vein Distention. Place the patient in supine position with head flat and inspect the neck for JVD without moving the head.

• Jugular Vein Distention. Position them in Trendelenburg position and inspect the neck for JVD while the patient is lying flat.

What is the expected finding when inspecting for jugular venous distention (JVD)?

• May see a slight pulsation but should not see any distention.

• Neck veins are visibly bulging above the clavicle at 30 degrees.

• There is a strong, bounding pulse visible in the jugular vein.

• Jugular vein is completely collapsed and not visible at all.

What does it mean if you see a positive JVD?

• It's a sign of venous pressure elevation (commonly seen in heart failure and fluid overload).

• It indicates low blood pressure and dehydration.

• It is a normal finding in healthy adults.

• It suggests arterial insufficiency.

Which of the following are considered 'other pulses' to palpate during a clinical examination?

• Radial, Brachial, Femoral, Popliteal, Dorsalis Pedis, Posterior Tibialis

• Carotid, Temporal, Subclavian, Axillary

• Ulnar, Digital, Plantar, Temporal