NR-304: Health Assessment II RUA: Health History With Complete Solution Graded A+

NR-304: Health Assessment II RUA: Health History WITH COMPLETE SOLUTION palpation of radial pulse - Palpate both pulses noting the rate, rhythm, elasticity of vessel wall and equal force grading pulse - 3+ full bounding 2+ normal 1+ weak 0 absent brachial pulse - palpate this pulse if you suspect arterial insufficiency modified Allen's test - tests for ulnar arterial insufficiency by occluding both the radial and ulnar artery normal results: normal color of hand should reappear approximately 2-5 seconds abnormal results: pallor persists or a sluggish return to color suggest occlusion of the collateral arterial flow temporal artery - palpated in front of the ear carotid artery - palpated in the groove b/t the sternomastoid muscle and the trachea brachial artery - major artery supplying the arm radial artery - lies medial to the radius and wrist supplies blood to the hand ulnar artery - lies lateral to the ulna. Deeper and often difficult to feel. Supplies blood to the hand femoral artery - major artery in the leg. Palpated in the inguinal area popliteal artery - artery in the knee. Located posterior to the patella. Divides into the anterior and posterial tibial artery anterior tibial - travels down the front of the leg on to the dorsal of the foot becomes the dorsalis pedis. carries blood to the anterior compartment of the leg and dorsal surface of the foot posterior tibial - travels down behind the medial malleolus and forms the plantar arteries in the foot. carries blood to the posterior compartment of the leg and plantar surface of the foot dorsalis pedis - a blood vessel of the lower limb that carries oxygenated blood to the dorsal surface of the foot claudication distance - the number of blocks walked or stairs climbed to produce pain arterial claudication - pain in the calf, thigh or hip or muscle fatigue that occurs when walking a certain distance related to peripheral arterial disease (PAD) peripheral perfusion - checking for capillary refill by blanching the nail beds and noting the time for color return normal is less than 1-2 seconds doppler - used if pulses are too weak to detect by palpation, monitor blood pressure in infants or children, measure low blood pressure or blood pressure in the lower extremities A noninvasive test using sound waves to detect blood flow through blood vessels ex. competent valves (varicosities) edema - fluid build up in the interstitial space