Questions and Answers
What is the major artery that supplies blood to the arm?
Brachial artery
Where can the popliteal artery be palpated?
Knee
Where can the posterior tibial pulse be palpated?
Ankle
What percentage of the body's blood volume is contained in the veins?
Signup and view all the answers
What is the Trendelenburg test used to determine?
Signup and view all the answers
What condition may be suspected if a client presents with cold clammy skin and loss of hair on the legs?
Signup and view all the answers
What should the nurse assess next after suspecting arterial insufficiency in an adult client?
Signup and view all the answers
What position should the client assume to facilitate palpation of the epitrochlear lymph nodes?
Signup and view all the answers
What is the likely cause of a client's legs appearing slightly cyanotic while sitting on the edge of the exam table?
Signup and view all the answers
What is the typical diameter of a normal inguinal lymph node?
Signup and view all the answers
What is the likely cause of enlarged, tender, and fixed inguinal lymph nodes?
Signup and view all the answers
Why should the nurse palpate the radial pulse of an adult client?
Signup and view all the answers
What is a possible indication of venous insufficiency during a physical examination?
Signup and view all the answers
What is a common symptom of intermittent claudication?
Signup and view all the answers
Which lifestyle modification can help reduce the risk of peripheral vascular disease?
Signup and view all the answers
What is the correct preparation for using a Doppler ultrasound probe to detect blood flow in the femoral artery?
Signup and view all the answers
What is a possible complication that the nurse should assess for in a client who has had a mastectomy?
Signup and view all the answers
What is the correct term for the swelling of the legs and ankles due to fluid accumulation?
Signup and view all the answers
Study Notes
Arteries and Veins
- The brachial artery is the major artery that supplies blood to the arm.
- The popliteal artery can be palpated at the knee.
- The posterior tibial pulse can be palpated at the ankle.
- Approximately 70% of the body's blood volume is contained in the veins.
Assessing Peripheral Vascular System
- The Trendelenburg test is used to determine the competence of the saphenous vein valves.
- Cold clammy skin and loss of hair on the legs may indicate arterial insufficiency.
- Raynaud disease can cause poor peripheral pulses and bruits over the radial artery.
Pulse Evaluation
- If the radial pulse is weak, the nurse should assess the brachial pulse next.
- Palpating the femoral pulse can help diagnose arterial insufficiency.
Lymph Nodes
- To palpate the epitrochlear lymph nodes, the client should flex their elbow about 90 degrees.
- Enlarged inguinal lymph nodes (approximately 3 cm in diameter, contender, and fixed) may indicate malignancy.
Skin Changes
- Slightly cyanotic skin color may indicate venous insufficiency.
- Warm skin and brown pigmentation around the ankles may indicate venous insufficiency.
Intermittent Claudication
- Intermittent claudication may cause legs to feel cold and tingly.
- Reducing risk factors for peripheral vascular disease includes regular exercise.
Diagnostic Tests
- A Doppler ultrasound probe is used to detect blood flow in the femoral artery, and K-Y jelly should be applied to the client's skin.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
