NR 304- HEALTH ASSESSMENT II FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS 100% PASS (A+ CERTIFIED)

NR 304- HEALTH ASSESSMENT II FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS 100% PASS (A+ CERTIFIED) tion of radial pulse Palpate both pulses noting the rate, rhythm, elasticity of vessel wall and equal force ng pulse 3+ full bounding 2+ normal 1+ weak 0 absent 3. brachial pulse palpate this pulse if you suspect arterial insufficiency 4. 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 5. temporal artery palpated in front of the ear 6. carotid artery palpated in the groove b/t the sternomastoid muscle and the trachea 7. brachial artery major artery supplying the arm 8. radial artery lies medial to the radius and wrist supplies blood to the hand 9. ulnar artery lies lateral to the ulna. Deeper and often difficult to feel. Supplies blood to the hand 10. femoral artery major artery in the leg. Palpated in the inguinal area 11. popliteal artery artery in the knee. Located posterior to the patella. Divides into the anterior and posterial tibial artery 12. 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 13. 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 14. dorsalis pedis a blood vessel of the lower limb that carries oxygenated blood to the dorsal surface of the foot 15. claudication distance the number of blocks walked or stairs climbed to produce pain 16. 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) 17. 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 18. 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) 19. edema fluid build up in the interstitial space 20. PVDcirculation disorder in which narrowed blood vessels reduce blood flow to the limbs. Caused by arteriosclerosis (hardening of arteries caused by plaque build up) Inspect skin for ulcers, temperature and color 21. lymphedemaswelling in the arms or legs caused by a blockage of the lymphatic system , causes a build up of lymph fluid in tissues 22. intermittent claudicationa condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries 23. 5 P'sPain Pulselessness Pallor Parasthesia (can't feel) Paralysis (can't move) 24. Grading Edema+1 mild pitting, no swelling +2 moderate pulling, indentation goes away quickly +3 deep pitting, swollen +4 very deep pitting, indentation stays, very swollen 25. Arterial Occlusion: -5 P's -Mottling - Bluish/cyanosis - decrease capillary refill - cold temperature 26. arterial insufficiencyskin is cool -skin is thin and shiny - no edema -no hair growth - decreased pulses -yellow toenails -dependent rubor (ruddy red/blue) -elevated pallor 27. venous insufficiencynormal temperature -normal pulse -flaky, dry, thick skin -skin tears easily- friable -edema -brawny color 28. arterial ulcers: -intermittent claudication pain -no edema -no pulse or weak pulse -no drainage -round smooth sores -black eschar -location on toes and feet 29. venous ulcers: -dull achy pain -lower leg edema -pulse present -drainage - sores w/ irregular borers - yellow slough or ruddy skin -location on ankles 30. vascular bruit: an audible vascular sound associated w/ turbulent blood flow