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Health Assessment 2 (NR 304) Exam 1 Study Guide Questions with Accurate Answers

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Aneurysm - ANSWERSBulging or dilation caused by a weakness in the wall of an artery. Can sometimes be detected by a characteristic bruit over the artery. Arterial Insufficiency - ANSWERSInadequate circulation in the arterial system due to the buildup of fatty plaque or calcification of the arterial wall, resulting in diminished pulses. Ausculatory Gap - ANSWERSPeriod of diminished or absent Korotkoff sounds during the manual measurement of blood pressure. Claudication - ANSWERSPain caused by too little blood flow during exercise. This condition generally affects the blood vessels in the legs but can also affect the arms. Clubbing of the nail - ANSWERSFlattening of the angle of the nail and enlargement of the tips of the fingers. May feel spongy instead of firm, and possible blue discoloration. Doppler ultrasongraphy - ANSWERSNoninvasive test that can be used to measure blood flow and blood pressure by bouncing high-frequency sound waves off circulating red blood cells. Used to help diagnose blood clots, poor valve function in the legs, blocked artery, aneurysms, and carotid artery stenosis. Edema - ANSWERSCollection of fluid in the body tissues. Can result from cardiac, vascular, or lymphatic problems. Epitrochlear node - ANSWERSLocated on the medial surface of the arm above the elbow. Drains the ulnar surface of the forearm and the third, fourth, and fifth digits. Pallor - ANSWERSPaleness in the skin Superficial - ANSWERSThe most top layer of the skin Ulceration - ANSWERSDevelopment of an ulcer Varicosities - ANSWERSFrequently occur in the anterolateral aspect of the thigh and lower leg or on the posterolateral aspect of the calf. The bulging (distended) veins do not disappear when legs are elevated. Vasoconstriction - ANSWERSNarrowing of blood vessels resulting from contraction of muscular wall of the vessels, particularly in the larger arteries and small arterioles.

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Health Assessment 2 (NR 304) Exam 1
Study Guide Questions with Accurate
Answers
Aneurysm - ANSWERSBulging or dilation caused by a weakness in the wall of an
artery. Can sometimes be detected by a characteristic bruit over the artery.

Arterial Insufficiency - ANSWERSInadequate circulation in the arterial system due to the
buildup of fatty plaque or calcification of the arterial wall, resulting in diminished pulses.

Ausculatory Gap - ANSWERSPeriod of diminished or absent Korotkoff sounds during
the manual measurement of blood pressure.

Claudication - ANSWERSPain caused by too little blood flow during exercise. This
condition generally affects the blood vessels in the legs but can also affect the arms.

Clubbing of the nail - ANSWERSFlattening of the angle of the nail and enlargement of
the tips of the fingers. May feel spongy instead of firm, and possible blue discoloration.

Doppler ultrasongraphy - ANSWERSNoninvasive test that can be used to measure
blood flow and blood pressure by bouncing high-frequency sound waves off circulating
red blood cells. Used to help diagnose blood clots, poor valve function in the legs,
blocked artery, aneurysms, and carotid artery stenosis.

Edema - ANSWERSCollection of fluid in the body tissues. Can result from cardiac,
vascular, or lymphatic problems.

Epitrochlear node - ANSWERSLocated on the medial surface of the arm above the
elbow. Drains the ulnar surface of the forearm and the third, fourth, and fifth digits.

Pallor - ANSWERSPaleness in the skin

Superficial - ANSWERSThe most top layer of the skin

Ulceration - ANSWERSDevelopment of an ulcer

Varicosities - ANSWERSFrequently occur in the anterolateral aspect of the thigh and
lower leg or on the posterolateral aspect of the calf. The bulging (distended) veins do
not disappear when legs are elevated.

Vasoconstriction - ANSWERSNarrowing of blood vessels resulting from contraction of
muscular wall of the vessels, particularly in the larger arteries and small arterioles.

, Venous insufficiency - ANSWERSInadequate circulation usually due to incompetent
valves in deep veins or a blood clot in the veins. Temperature of skin is normal, but
edema is usually present and is accompanied by a feeling of fullness in the legs. Skin
around the ankles may be thickened and have a brown discoloration.

Venous stasis - ANSWERSCondition of slow blood flow in the veins, usually of the legs.
It is a risk factor for forming blood clots in veins like DVT.

What special equipment is used to check the blood pressure in an infant? -
ANSWERSDoppler flowmeter

At what age should the blood pressure of a child be assessed during well-child check-
ups? - ANSWERS18 months

What could an extreme difference between upper and lower extremity blood pressure in
an infant indicate - ANSWERSCoarctation (narrowing) of the aorta

What could extremely enlarged lymph nodes in a child indicate? - ANSWERSInfection

What does the blood pressure do during the second trimester of pregnancy? What
causes it? - ANSWERSBlood pressure may decrease due to dilation of the peripheral
vessels.

What threat does high blood pressure pose to the mother during the third trimester? -
ANSWERSShe may have a cerebral hemorrhage

Why should the expecting mother avoid lying on her back during pregnancy? -
ANSWERSPressure from the uterus can obstruct venous return to the heart and lead to
hypotension

Older adults are at risk for forming blood clots. What expected changes within this
population contribute to this? - ANSWERSEnlargement of calf veins

What are some signs and symptoms of hypertension? - ANSWERSMay be
asymptomatic, have headaches, nose bleeds, shortness of breath, or chest pain.

Which race is at greatest risk for hypertension? - ANSWERSAfrican American and
Hispanics

Where are some areas the nurse can assess for color variations within different ethnic
groups? - ANSWERSCapillary refill, color of palms of their hands and soles of feet, and
the color of their oral mucosa.

Extreme coolness to the lower extremity. Normal or Abnormal? - ANSWERSAbnormal

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