Client Assessment for Venous Insufficiency and Pulse Strength
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Questions and Answers

Which abdominal finding is associated with liver disease?

  • Generalized tenderness
  • Hypoactive bowel sounds (correct)
  • Tense distended bladder
  • Visible peristalsis

    • What is a characteristic of hyperactive bowel sounds?

  • Less than 1 sound in 2 minutes
  • More than 35 sounds per minute (correct)
  • Sounds every 5 minutes
  • No sounds for 3-5 minutes

    • What is a possible cause of muscle guarding in the abdomen?

  • Liver enlargement
  • Muscle wasting
  • Decreased medication absorption
  • Tenderness near the xiphoid process (correct)

    • Which group has a high incidence of lactose intolerance according to the text?

    <p>African Americans (B)</p> Signup and view all the answers

    What effect does increased adipose tissue and decreased muscle tone have on the abdomen?

    <p>Rounded abdomen (B)</p> Signup and view all the answers

    How does high fiber diet affect bowel elimination according to the text?

    <p>Facilitates bowel elimination through reflexes (A)</p> Signup and view all the answers

    What should individuals do to remain up to date with research according to the text?

    <p>Annual health exams (D)</p> Signup and view all the answers

    What does a 3+ grading of pulse intensity indicate?

    <p>Full/bounding pulse (C)</p> Signup and view all the answers

    Which condition can be indicated by nonpitting edema?

    <p>Arterial insufficiency (D)</p> Signup and view all the answers

    What does a 2+ grading of pulse intensity represent?

    <p>Normal pulse (A)</p> Signup and view all the answers

    Which group has a higher incidence of hypertension compared to Caucasians?

    <p>African Americans, Puerto Ricans, Cubans, and Latinos (D)</p> Signup and view all the answers

    In the capillary refill test, how quickly should the nail return to normal color to indicate no peripheral insufficiency?

    <p>Within 3 seconds (B)</p> Signup and view all the answers

    What may indicate venous insufficiency according to the text?

    <p>Dusky red color when limb is lowered (D)</p> Signup and view all the answers

    What does a 1+ grading of pulse intensity imply?

    <p>Mild pitting (C)</p> Signup and view all the answers

    Which group has a higher risk of developing diabetes in the U.S. compared to non-Hispanic Caucasians?

    <p>Latinos (D)</p> Signup and view all the answers

    What is a common symptom associated with dysphagia?

    <p>Difficulty swallowing (C)</p> Signup and view all the answers

    Which assessment technique is NOT used to evaluate the abdomen?

    <p>Visual acuity (B)</p> Signup and view all the answers

    Which factor promotes comfort during abdominal assessment?

    <p>Voiding before assessment (A)</p> Signup and view all the answers

    What is a characteristic of normal skin according to the text?

    <p>Uniform color (C)</p> Signup and view all the answers

    Which abdominal finding may indicate the presence of a hernia or tumor?

    <p>Abdominal distention (B)</p> Signup and view all the answers

    What are the characteristics of vascular pattern as described in the text?

    <p>(Normal) visible vascular pattern (B)</p> Signup and view all the answers

    Which assessment method is NOT typically utilized for evaluating the cardiovascular and peripheral vascular systems?

    <p>Radiological imaging (B)</p> Signup and view all the answers

    What is the most common cause of death in the United States according to the text?

    <p>Cardiovascular diseases (B)</p> Signup and view all the answers

    What type of data should be included in the nursing history for assessing cardiovascular and peripheral systems?

    <p>Both subjective and objective data (A)</p> Signup and view all the answers

    Which of the following is considered part of the subjective data that should be included in the nursing history?

    <p>Family history (A)</p> Signup and view all the answers

    What is a key question that should be asked during a nursing assessment of cardiovascular symptoms?

    <p>How far can you walk? (C)</p> Signup and view all the answers

    Which activity should a nurse inquire about to understand what alleviates cardiovascular symptoms?

    <p>Meditation (A)</p> Signup and view all the answers

    What should be considered during a nursing assessment to understand the impact of cardiovascular symptoms on a patient's lifestyle?

    <p>&quot;How does it affect your lifestyle?&quot; (C)</p> Signup and view all the answers

    Which aspect should be evaluated to determine the duration of cardiovascular symptoms experienced by a patient?

    <p>'How long have you had this symptom(s)?' (D)</p> Signup and view all the answers

    What is the recommended order of assessment during a physical examination?

    <p>Cephalocaudal (head to toe) (C)</p> Signup and view all the answers

    Which vital sign may show some variance in different extremities?

    <p>Blood pressure (D)</p> Signup and view all the answers

    What does a sustained decrease of at least 20 mmHg in systolic blood pressure or 10 mmHg in diastolic blood pressure indicate?

    <p>Postural hypotension (C)</p> Signup and view all the answers

    Where should you start auscultating the heart during a physical examination?

    <p>Base of the heart to the Apex (C)</p> Signup and view all the answers

    Which sound is heard during the closure of the mitral and tricuspid valves?

    <p>&quot;Lub&quot; (D)</p> Signup and view all the answers

    When does the S3 sound occur?

    <p>In early diastole when the left ventricle is overly compliant (B)</p> Signup and view all the answers

    What may an S4 sound indicate during a physical examination?

    <p>Resistance to ventricular filling (A)</p> Signup and view all the answers

    What is the possible age-related change regarding heart size?

    <p>Possible downward displacement of the heart (C)</p> Signup and view all the answers

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