Client Assessment: Lower Extremities and Veins
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Questions and Answers

What does a 'bounding pulse' indicate in terms of peripheral pulses?

  • Arterial insufficiency
  • Normal function (correct)
  • Diminished/weak/thready pulse
  • Venous insufficiency
  • How is Pitting edema graded when assessing peripheral perfusion?

  • 3+ (6mm)
  • 1+ (2mm)
  • 0+ (no pitting)
  • 4+ (8mm) (correct)
  • What does the inability of a nail to return to normal color within 3 seconds indicate in the Capillary Refill Test?

  • Peripheral insufficiency (correct)
  • Normal perfusion
  • Venous insufficiency
  • Arterial insufficiency
  • Which factor is NOT listed as a major high-risk factor for heart disease and stroke?

    <p>Venous insufficiency</p> Signup and view all the answers

    What does a 'weak/thready pulse' signify when assessing peripheral pulses?

    <p>Venous insufficiency</p> Signup and view all the answers

    In assessing the heart sounds, which valve is associated with the 'lub' sound heard best at the apex during systole?

    <p>Mitral valve</p> Signup and view all the answers

    Which condition may 'S3' indicate in individuals over 30 years of age?

    <p>Left ventricular hypertrophy (LVH)</p> Signup and view all the answers

    Which phase of the cardiac cycle is associated with the 'dub' sound heard best at the base with the diaphragm of the stethoscope?

    <p>Ventricular diastole</p> Signup and view all the answers

    What might a displaced Point of Maximal Impulse (PMI) indicate in a patient?

    <p>Cardiac hypertrophy</p> Signup and view all the answers

    When assessing for pulsations, what is a common location where pulsations are usually absent except for the apical impulse?

    <p>Jugular veins</p> Signup and view all the answers

    What is the purpose of incorporating data obtained from observation, auscultation, and palpation when assessing the cardiovascular and peripheral vascular systems?

    <p>To evaluate perfusion and detect abnormalities such as S1 and S2 heart sounds</p> Signup and view all the answers

    What should be included in the nursing history to assess the cardiovascular and peripheral vascular systems?

    <p>Past medical history, including chest pain/discomfort and shortness of breath (SOB)</p> Signup and view all the answers

    Which question is vital in understanding the impact of symptoms on a patient's lifestyle when assessing the cardiovascular and peripheral vascular systems?

    <p>How much does it bother you?</p> Signup and view all the answers

    In assessing cardiovascular diseases, what information can be gathered by asking 'How long have you had this symptom(s)?'

    <p>The progression of the symptom over time</p> Signup and view all the answers

    Why is it important to ask 'What do you think is causing the problem?' during the assessment of cardiovascular and peripheral vascular systems?

    <p>To assess the patient's personal beliefs about their health</p> Signup and view all the answers

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