Nursing Assessment of Lower Extremities

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39 Questions

What is one of the factors contributing to Latinos in the U.S. having a higher risk of developing diabetes compared to non-Hispanic Caucasians?

Decreased effectiveness of blood vessels

Which type of arteries are thicker and dilate less effectively according to the text?

Peripheral arteries

What is a suggested strategy for managing health and wellness mentioned in the text?

Balanced diet

Which one of these is NOT mentioned as part of a nursing history assessment in the text?

Recent vacation plans

What is one of the reasons for advising the client to void before abdominal assessment, as mentioned in the text?

To promote comfort during assessment

What is one of the signs of skin abnormalities mentioned in the text during a physical assessment?

Tense glistening skin

What might asymmetrical contour in the abdomen indicate, based on the text?

Hernia or tumor

What is the recommended order of assessment for a comprehensive physical examination?

Head to toe

Which of the following is NOT included in the factors to consider during a physical assessment?

Recent vacations

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

Orthostatic hypotension

What does cyanosis refer to in a physical assessment?

Bluish tinge of the lips, ear lobes, or buccal mucosa

Where would you auscultate for a bruit during a physical examination of the cardiovascular system?

Carotid arteries

Which valve area is associated with the 4th and 5th left intercostal space along the mid-clavicular line?

Tricuspid valve

When is the closure of the mitral and tricuspid valves (S1) heard best during the cardiac cycle?

In early diastole

"S3" heart sound is most likely to be heard in which group of individuals?

Children and younger adults

What does nonpitting edema feel like?

It feels hard to touch with no indentation when firm pressure is applied.

How is a 3+ pulse intensity described?

Full/bounding

What does cyanosis and marked edema indicate?

Venous insufficiency

What does it indicate if skin is thin, shiny, or waxy shiny with reduced hair and ulceration?

Arterial insufficiency

In the grading of the intensity of pulses, what does 1+ represent?

Weak/thready

What does a dusky red color when limb is lowered indicate?

Arterial insufficiency

What does a capillary refill test help indicate?

Arterial insufficiency

Which racial/ethnic groups have a higher incidence of hypertension according to the text?

African American, Puerto Ricans, Cubans & Latinos

What should a nursing history of the cardiovascular and peripheral vascular systems include?

Subjective and objective data

Why is it important to obtain data from observation, auscultation, palpation, and patient history when assessing the cardiovascular system?

To obtain a comprehensive assessment

Which of the following is a key question to ask during a nursing assessment of the cardiovascular system?

How long have you had this symptom(s)?

Why is understanding how symptoms affect a patient's lifestyle important during a cardiovascular assessment?

To determine potential interventions

Which data source is NOT typically included in a nursing history of the cardiovascular system?

Social media activity

How can patient, family, and medical history contribute to the assessment of cardiovascular systems?

By providing valuable context and information

Which question aims to understand the patient's perception about the cause of their cardiovascular symptoms?

What do you think is causing the problem?

What type of data is essential for an effective assessment of the cardiovascular system?

A combination of subjective and objective data

What is the significance of high lactose intolerance among certain ethnic groups?

Slower peristalsis and less frequent bowel movements

Which abdominal finding is indicative of a distended and palpable tense mass?

Bladder not palpable

What is a characteristic symptom of high fiber diets with high quantities of raw fresh foods?

More active gastrocolic and duodenocolic reflexes

Which ethnic groups have a higher incidence of high lactose intolerance?

African Americans and Native Americans

Which sign suggests liver disease when palpating the abdomen?

Liver enlargement, smooth but tender-nodular hard

What does muscle wasting and loss of fibroconnective tissue result in?

Increased adipose tissue

Why is decreased medication absorption associated with certain ethnic groups?

Lowered gastric acid secretion

What is the significance of hyperactive bowel sounds (>35 per minute)?

Suggests increased peristalsis

This quiz covers the nursing assessment of lower extremities, including inspecting, palpating, checking skin temperature, assessing range of motion and muscle strength, and grading the intensity of pulses. Topics include proper fit of prosthesis and venous insufficiency.

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