1

Cardiac Case Study Homework Week 5

Name of Student

University Name

Course

Professor

Date
 2

Cardiac Case Study Homework Week 5

Question (a)

The turbulent blood flow is caused by uncontrolled heart rate and breathing, High blood

pressure, hyperthyroidism, and high blood pressure. Moreover, Exercise, pregnancy, anemia,

aortic stenosis, and other factors can result in a high velocity and low blood viscosity resulting in

turbulent blood flow (Bhushan et al., 2015).

Question (b)

Examining the precordium and listening to the heart sounds can be done using three

different approaches, which include: inspection, palpitation, and auscultation (Cnp, 2015)

Question (C)

It is necessary to systematically perform auscultation of the heart at five different sites on

the anterior chest wall. Make use of the diaphragm on the stethoscope.

Area of the Aortic Valve: The right sternal border is located in the second suitable

intercostal space (ICS).

Area of the pulmonic valve: second left intercostal space (ICS), left sternal boundary, the

pulmonic valve itself Third left ICS, left sternal border.

The location of Erb's point (Cnp, 2015).

Question (d)

It is possible to hear a whooshing or rasping sound during a heartbeat in this client. The

sound is produced by turbulent rough blood flow via the heart valves or in the vicinity of the

heart (Cnp, 2015).

 3

Question (e)

The nurse should emphasize the risks factors: The nurse should tell the patient that blood

cholesterol and triglycerides are elevated, with high LDL "bad" cholesterol exceeding 100 mg/dL

and low HDL cholesterol below 40 mg/dL most common. The LDL level should be less than 70

mg/dL in some individuals who already have heart or blood vessel disease and others at high risk

(Willerson & David R. Holmes, 2015).

Question (f)

The nurse should respond affirmatively and go over the indications and symptoms that a

patient with a heart murmur may experience and should mention symptoms such as bluish skin

tone, Aches and pains in the chest, feeling dizzy or fainting, Excessive sweating that is not

connected to the temperature or physical activity, poor eating habits and unusual growth in

youngsters, particularly newborns with congenital valve disease, Shortness of breath. Moreover,

the feet, legs, and abdomen may become swollen and Increased body weight.

Question (g)

For this patient, nursing diagnoses could include activity intolerance, excess fluid

volume, and reduced cardiac output, among others. Among other things, the nurses should look

for educational and psychological diagnoses that are appropriate to this patient, such as a

knowledge deficit, inadequate self-health management, anxiety, and noncompliance, to name a

few (Da Silva Alves Souza et al., 2016).

It would be necessary to do the following nursing interventions on this patient: Improving

myocardial contractility/systemic perfusion Reduce the amount of fluid in the system. Prevent

issues from occurring. Please provide information on the disease and its prognosis, as well as on

the necessity for treatment and avoidance of recurrences (Da Silva Alves Souza et al., 2016).
 4

References

Bhushan, S., Borse, M., Robinson, B., & Walters, K. (2015). Turbulent simulations of particle

deposition in feline aorta flow for hypertrophic cardiomyopathy heart conditions.

Volume 1: Symposia. https://doi.org/10.1115/ajkfluids2015-4688

Cnp, C. J. (2015). pocket companion for physical examination and health assessment. Elsevier

Health Sciences.

Da Silva Alves Souza, L. M., Cotait Ayoub, A., & Ruiz Zimmer Cavalcante, A. M. (2016).

Nursing diagnosis for people with heart failure based on the hemodynamic profiles.

International Journal of Nursing Knowledge, 28(4), 199-203.

https://doi.org/10.1111/2047-3095.12151

Willerson, J. T., & David R. Holmes, J. (2015). Coronary artery disease. Springer.