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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