Week 6 Discussion: Assessing the Heart, Lungs and Peripheral Vascular System

Week 6 Discussion: Assessing the Heart, Lungs and Peripheral Vascular System

Week 6 Discussion: Assessing the Heart, Lungs and Peripheral Vascular System

Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?

In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.

In this Discussion, you will consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.


Note: By Day 1 of this week, your Instructor will have assigned you to one of the video case studies in this week’s Learning Resources titled Advanced health assessment and diagnostic reasoning. Also, your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance.Remember that not all comprehensive SOAP data are included in every patient case. Week 6 Discussion: Assessing the Heart, Lungs and Peripheral Vascular System

To prepare:

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the subject line (“Discussion – Week 6”) with “Review of Case Study” identifying the number of the case study you were assigned.

By Day 3

Post a description of the health history you would need to collect from the patient in the case study you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning. Week 6 Discussion: Assessing the Heart, Lungs and Peripheral Vascular System.

NURS 6512 Week 6 Quiz

Question 1

On a CXR, which of the following is true of the diaphragm?

Question 2

The most helpful finding in determining left-sided heart failure is:

Question 3

Respiratory effort usually exhibited by the patient with cerebral brain damage is called:

Question 4

A third heart sound is created by:

Question 5

Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:

Question 6

The amplitude of pulses is recorded on a(n):

Question 7

Chronic obstructive pulmonary disease, pericarditis, and pericardial effusion are most often associated with:

Question 8

A bounding pulse in an infant may be associated with:

Question 9

Conduction system impairment should be suspected if an irregular heartbeat is:

Question 10

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

Question 11

In infants or small children, a capillary refill time of 4 seconds:

Question 12

Thrombosis of a leg vein should be suspected if the patient feels calf pain:

Question 13

A 34-year-old man is being seen for complaints of dull pain between the shoulder blades that is more intense with deep breathing and coughing. Upon auscultation of the chest you suspect that you will hear:

Question 14

Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart to be located:

Question 15

The level at which the jugular venous pulse is visible gives an indication of:

Question 16

Which of the following statements is most accurate in describing hepatic jugular reflux?

Question 17

Purkinje fibers are located in the:

Question 18

As you take vital signs on Mr. B., age 78, you note that his respirations are 40 per minute. He has been resting and his mucosa is pink. Concerning Mr. B. s respirations, you would:

Question 19

Systolic hypertension in the adult is generally defined as pressure in excess of:

Question 20

In barrel chest, the ratio of anteroposterior diameter to transverse (lateral) diameter is: