Podcast
Questions and Answers
What is the major artery that supplies blood to the arm?
What is the major artery that supplies blood to the arm?
- Brachial artery (correct)
- Radial artery
- Posterior artery
- Ulnar artery
Where can the popliteal artery be palpated?
Where can the popliteal artery be palpated?
- Knee (correct)
- Ankle
- Great toe
- Inguinal ligament
Where can the posterior tibial pulse be palpated?
Where can the posterior tibial pulse be palpated?
- Top of the foot
- Ankle (correct)
- Knee
- Great toe
What percentage of the body's blood volume is contained in the veins?
What percentage of the body's blood volume is contained in the veins?
What is the Trendelenburg test used to determine?
What is the Trendelenburg test used to determine?
What condition may be suspected if a client presents with cold clammy skin and loss of hair on the legs?
What condition may be suspected if a client presents with cold clammy skin and loss of hair on the legs?
What should the nurse assess next after suspecting arterial insufficiency in an adult client?
What should the nurse assess next after suspecting arterial insufficiency in an adult client?
What position should the client assume to facilitate palpation of the epitrochlear lymph nodes?
What position should the client assume to facilitate palpation of the epitrochlear lymph nodes?
What is the likely cause of a client's legs appearing slightly cyanotic while sitting on the edge of the exam table?
What is the likely cause of a client's legs appearing slightly cyanotic while sitting on the edge of the exam table?
What is the typical diameter of a normal inguinal lymph node?
What is the typical diameter of a normal inguinal lymph node?
What is the likely cause of enlarged, tender, and fixed inguinal lymph nodes?
What is the likely cause of enlarged, tender, and fixed inguinal lymph nodes?
Why should the nurse palpate the radial pulse of an adult client?
Why should the nurse palpate the radial pulse of an adult client?
What is a possible indication of venous insufficiency during a physical examination?
What is a possible indication of venous insufficiency during a physical examination?
What is a common symptom of intermittent claudication?
What is a common symptom of intermittent claudication?
Which lifestyle modification can help reduce the risk of peripheral vascular disease?
Which lifestyle modification can help reduce the risk of peripheral vascular disease?
What is the correct preparation for using a Doppler ultrasound probe to detect blood flow in the femoral artery?
What is the correct preparation for using a Doppler ultrasound probe to detect blood flow in the femoral artery?
What is a possible complication that the nurse should assess for in a client who has had a mastectomy?
What is a possible complication that the nurse should assess for in a client who has had a mastectomy?
What is the correct term for the swelling of the legs and ankles due to fluid accumulation?
What is the correct term for the swelling of the legs and ankles due to fluid accumulation?
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.
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Description
Test your knowledge on the assessment of peripheral vascular system, including the major arteries and pulse palpation points. Questions cover the brachial artery, popliteal artery, and posterior tibial pulse.
