NUR 3094C Health Assessment Exam 2
Review (Latest Update )
Questions & Answers {Grade A } 100%
Correct Florida State College
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:
A. intermittent claudication.
B. sore muscles
C. muscle cramps
D. venous insufficiency - correct answer A. intermittent claudication
The pain is brought on by activity and relieved with rest.
,The nurse is preparing to perform a modified Allen test. Which is an appropriate
reason for this test?
A. to measure the rate of lymphatic drainage.
B. To evaluate the adequacy of capillary patency before venous blood draws.
C. To evaluate the adequacy of collateral circulation before cannulating the radial
artery
D. to evaluate the venous refill rate that occurs after the ulnar and radial arteries
are temporarily occluded. - correct answer C. to evaluate the adequacy of collateral
circulation before cannulating the radial artery
Modified Allen test is used to evaluate the adequacy of collateral circulation before
the radial artery is cannulated. The other responses are not reasons for a modified
Allen test
,In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would
A. palpate the artery in the upper one third of the neck.
B. listen with the bell of the stethoscope to assess for bruits
C. palpate both arteries simultaneously to compare amplitude.
D. instruct patient to take slow, deep breaths during auscultation. - correct answer
B. listen with the bell of the stethoscope to assess for bruits.
If cardiovascular disease is suspected, then the nurse should auscultate each
carotid artery for the presence of a bruit. The nurse should avoid compressing the
artery because this could create an artificial bruit and it could compromise
circulation if the carotid artery is already narrowed by atherosclerosis. Avoid
excessive pressure on the carotid sinus area higher in the neck, excessive vagal
stimulation here could slow down the heart rate, especially in older adults. Palpate
only on e carotid artery at a time to avoid compromising arterial blood to the brain.
, 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
A. are often associated with venous disease
B. occur in the presence of lymphadenopathy
C. in the femoral arteries are caused by hypermetabolic states
D. occur with turbulent flow, indicating partial occlusion - correct answer D. occur
with turbulent flow, indicating partial occlusion
Bruits occur with turbulent blood flow, indicating partial occlusion. A bruit is audible
when the artery is occluded by 1/2 to 2/3, it's loudness increases as atherosclerosis
worsens and disappears when the lumen is completely occluded
Which of the following correctly expresses the relationship to the lobes of the lungs
and their anatomic position?
Review (Latest Update )
Questions & Answers {Grade A } 100%
Correct Florida State College
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:
A. intermittent claudication.
B. sore muscles
C. muscle cramps
D. venous insufficiency - correct answer A. intermittent claudication
The pain is brought on by activity and relieved with rest.
,The nurse is preparing to perform a modified Allen test. Which is an appropriate
reason for this test?
A. to measure the rate of lymphatic drainage.
B. To evaluate the adequacy of capillary patency before venous blood draws.
C. To evaluate the adequacy of collateral circulation before cannulating the radial
artery
D. to evaluate the venous refill rate that occurs after the ulnar and radial arteries
are temporarily occluded. - correct answer C. to evaluate the adequacy of collateral
circulation before cannulating the radial artery
Modified Allen test is used to evaluate the adequacy of collateral circulation before
the radial artery is cannulated. The other responses are not reasons for a modified
Allen test
,In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would
A. palpate the artery in the upper one third of the neck.
B. listen with the bell of the stethoscope to assess for bruits
C. palpate both arteries simultaneously to compare amplitude.
D. instruct patient to take slow, deep breaths during auscultation. - correct answer
B. listen with the bell of the stethoscope to assess for bruits.
If cardiovascular disease is suspected, then the nurse should auscultate each
carotid artery for the presence of a bruit. The nurse should avoid compressing the
artery because this could create an artificial bruit and it could compromise
circulation if the carotid artery is already narrowed by atherosclerosis. Avoid
excessive pressure on the carotid sinus area higher in the neck, excessive vagal
stimulation here could slow down the heart rate, especially in older adults. Palpate
only on e carotid artery at a time to avoid compromising arterial blood to the brain.
, 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
A. are often associated with venous disease
B. occur in the presence of lymphadenopathy
C. in the femoral arteries are caused by hypermetabolic states
D. occur with turbulent flow, indicating partial occlusion - correct answer D. occur
with turbulent flow, indicating partial occlusion
Bruits occur with turbulent blood flow, indicating partial occlusion. A bruit is audible
when the artery is occluded by 1/2 to 2/3, it's loudness increases as atherosclerosis
worsens and disappears when the lumen is completely occluded
Which of the following correctly expresses the relationship to the lobes of the lungs
and their anatomic position?
