Chapter 20: Peripheral Vascular System and Lymphatic System Jarvis: Physical Examination & Health Assessment, 7th Edition

Chapter 20: Peripheral Vascular System and Lymphatic System Jarvis: Physical Examination & Health Assessment, 7th Edition MULTIPLE CHOICE 1. Which statement is true regarding the arterial system? 2. The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the artery. 3. The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation? 4. A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with the left leg. 5. The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart? 6. Which vein(s) is(are) responsible for most of the venous return in the arm? 7. A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, “What happens to my circulation when this vein is removed?” The nurse should reply: 8. The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease? 9. The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement? 10. When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next? 11. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient? 12. The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect? 13. During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process? 14. A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing: 15. A patient complains of leg pain that wakes him at night. He states that he “has been having problems” with his legs. He has pain in his legs when they are elevated that disappears when he dangles them. He recently noticed “a sore” on the inner aspect of the right ankle. On the basis of this health history information, the nurse interprets that the patient is most likely experiencing: 16. During an assessment, the nurse uses the profile sign to detect: 17. The nurse is performing an assessment on an adult. The adult’s vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next? 18. When assessing a patient, the nurse notes that the left femoral pulse as diminished, 1+/4+. What should the nurse do next? 19. When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient’s skin is warm and capillary refill time is normal. Next, the nurse should: 20. The nurse is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The nurse should expect to find a(n) pulse. 21. The nurse is preparing to perform a modified Allen test. Which is an appropriate reason for this test? 22. A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe? 23. The nurse is attempting to assess the femoral pulse in a patient who is obese. Which of these actions would be most appropriate? 24. When auscultating over a patient’s femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits: 25. How should the nurse document mild, slight pitting edema the ankles of a pregnant patient? 26. A patient has hard, nonpitting edema of the left lower leg and ankle. The right leg has no edema. Based on these findings, the nurse recalls that: 27. When assessing a patient’s pulse, the nurse notes that the amplitude is weaker during inspiration and stronger during expiration. When the nurse measures the blood pressure, the reading decreases 20 mm Hg during inspiration and increases with expiration. This patient is experiencing pulsus: 28. During an assessment, the nurse has elevated a patient’s legs 12 inches off the table and has had him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the side of the table, the nurse should expect that a normal finding at this point would be: 29. During a visit to the clinic, a woman in her seventh month of pregnancy complains that her legs feel “heavy in the calf” and that she often has foot cramps at night. The nurse notices that the patient has dilated, tortuous veins apparent in her lower legs. Which condition is reflected by these findings? 30. During an assessment, the nurse notices that a patient’s left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema. The right arm is normal. The patient had a left-sided mastectomy 1 year ago. The nurse suspects which problem? 31. The nurse is preparing to assess the ankle-brachial index (ABI) of a patient. Which statement about the ABI is true? 32. The nurse is performing a well-child checkup on a 5-year-old boy. He has no current condition that would lead the nurse to suspect an illness. His health history is unremarkable, and he received immunizations 1 week ago. Which of these findings should be considered normal in this patient? 33. When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard? 34. The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct? 35. During an assessment, a patient tells the nurse that her fingers often change color when she goes out in cold weather. She describes these episodes as her fingers first turning white, then blue, then red with a burning, throbbing pain. The nurse suspects that she is experiencing: 36. During a routine office visit, a patient takes off his shoes and shows the nurse “this awful sore that won’t heal.” On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base, well-defined edges, and no drainage. The nurse should assess for other signs and symptoms of: 37. The nurse is reviewing an assessment of a patient’s peripheral pulses and notices that the documentation states that the radial pulses are “2+.” The nurse recognizes that this reading indicates what type of pulse? MULTIPLE RESPONSE ...................................CONTINUED.................................................