Client Assessment for Venous Insufficiency and Pulse Strength

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37 Questions

Which abdominal finding is associated with liver disease?

Hypoactive bowel sounds

What is a characteristic of hyperactive bowel sounds?

More than 35 sounds per minute

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

Tenderness near the xiphoid process

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

African Americans

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

Rounded abdomen

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

Facilitates bowel elimination through reflexes

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

Annual health exams

What does a 3+ grading of pulse intensity indicate?

Full/bounding pulse

Which condition can be indicated by nonpitting edema?

Arterial insufficiency

What does a 2+ grading of pulse intensity represent?

Normal pulse

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

African Americans, Puerto Ricans, Cubans, and Latinos

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

Within 3 seconds

What may indicate venous insufficiency according to the text?

Dusky red color when limb is lowered

What does a 1+ grading of pulse intensity imply?

Mild pitting

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

Latinos

What is a common symptom associated with dysphagia?

Difficulty swallowing

Which assessment technique is NOT used to evaluate the abdomen?

Visual acuity

Which factor promotes comfort during abdominal assessment?

Voiding before assessment

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

Uniform color

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

Abdominal distention

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

(Normal) visible vascular pattern

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

Radiological imaging

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

Cardiovascular diseases

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

Both subjective and objective data

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

Family history

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

How far can you walk?

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

Meditation

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

"How does it affect your lifestyle?"

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

'How long have you had this symptom(s)?'

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

Cephalocaudal (head to toe)

Which vital sign may show some variance in different extremities?

Blood pressure

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

Postural hypotension

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

Base of the heart to the Apex

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

"Lub"

When does the S3 sound occur?

In early diastole when the left ventricle is overly compliant

What may an S4 sound indicate during a physical examination?

Resistance to ventricular filling

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

Possible downward displacement of the heart

This quiz covers the assessment of clients with venous insufficiency, including inspecting lower extremities, palpating, checking skin temperature, and evaluating peripheral pulses. It also includes assessing range of motion (ROM) and muscle strength, as well as grading the intensity of pulses.

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