Client Assessment: Lower Extremities and Veins

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DeftOnomatopoeia
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15 Questions

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

Normal function

How is Pitting edema graded when assessing peripheral perfusion?

4+ (8mm)

What does the inability of a nail to return to normal color within 3 seconds indicate in the Capillary Refill Test?

Peripheral insufficiency

Which factor is NOT listed as a major high-risk factor for heart disease and stroke?

Venous insufficiency

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

Venous insufficiency

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

Mitral valve

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

Left ventricular hypertrophy (LVH)

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

Ventricular diastole

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

Cardiac hypertrophy

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

Jugular veins

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

To evaluate perfusion and detect abnormalities such as S1 and S2 heart sounds

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

Past medical history, including chest pain/discomfort and shortness of breath (SOB)

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

How much does it bother you?

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

The progression of the symptom over time

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

To assess the patient's personal beliefs about their health

This quiz covers the assessment of clients with venous insufficiency, focusing on inspecting lower extremities, palpating, checking skin temperature, evaluating peripheral pulses, assessing range of motion and muscle strength, and grading the intensity of pulses.

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