Nursing Assessment of Lower Extremities
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Questions and Answers

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?

  • Exercise
  • Decreased effectiveness of blood vessels (correct)
  • Annual check ups
  • Balanced diet

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

  • Systemic arteries
  • Peripheral arteries (correct)
  • Proximal arteries
  • Coronary arteries

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

  • Lack of exercise
  • Smoking cessation
  • Excessive alcohol consumption
  • Balanced diet (correct)

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

<p>Recent vacation plans (B)</p> Signup and view all the answers

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

<p>To promote comfort during assessment (A)</p> Signup and view all the answers

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

<p>Tense glistening skin (A)</p> Signup and view all the answers

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

<p>Hernia or tumor (D)</p> Signup and view all the answers

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

<p>Head to toe (B)</p> Signup and view all the answers

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

<p>Recent vacations (B)</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>Orthostatic hypotension (A)</p> Signup and view all the answers

What does cyanosis refer to in a physical assessment?

<p>Bluish tinge of the lips, ear lobes, or buccal mucosa (D)</p> Signup and view all the answers

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

<p>Carotid arteries (C)</p> Signup and view all the answers

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

<p>Tricuspid valve (A)</p> Signup and view all the answers

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

<p>In early diastole (C)</p> Signup and view all the answers

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

<p>Children and younger adults (A)</p> Signup and view all the answers

What does nonpitting edema feel like?

<p>It feels hard to touch with no indentation when firm pressure is applied. (A)</p> Signup and view all the answers

How is a 3+ pulse intensity described?

<p>Full/bounding (A)</p> Signup and view all the answers

What does cyanosis and marked edema indicate?

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

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

<p>Arterial insufficiency (D)</p> Signup and view all the answers

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

<p>Weak/thready (A)</p> Signup and view all the answers

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

<p>Arterial insufficiency (D)</p> Signup and view all the answers

What does a capillary refill test help indicate?

<p>Arterial insufficiency (B)</p> Signup and view all the answers

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

<p>African American, Puerto Ricans, Cubans &amp; Latinos (A)</p> Signup and view all the answers

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

<p>Subjective and objective data (D)</p> Signup and view all the answers

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

<p>To obtain a comprehensive assessment (C)</p> Signup and view all the answers

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

<p>How long have you had this symptom(s)? (C)</p> Signup and view all the answers

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

<p>To determine potential interventions (D)</p> Signup and view all the answers

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

<p>Social media activity (B)</p> Signup and view all the answers

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

<p>By providing valuable context and information (B)</p> Signup and view all the answers

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

<p>What do you think is causing the problem? (D)</p> Signup and view all the answers

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

<p>A combination of subjective and objective data (D)</p> Signup and view all the answers

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

<p>Slower peristalsis and less frequent bowel movements (A)</p> Signup and view all the answers

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

<p>Bladder not palpable (A)</p> Signup and view all the answers

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

<p>More active gastrocolic and duodenocolic reflexes (B)</p> Signup and view all the answers

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

<p>African Americans and Native Americans (C)</p> Signup and view all the answers

Which sign suggests liver disease when palpating the abdomen?

<p>Liver enlargement, smooth but tender-nodular hard (A)</p> Signup and view all the answers

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

<p>Increased adipose tissue (B)</p> Signup and view all the answers

Why is decreased medication absorption associated with certain ethnic groups?

<p>Lowered gastric acid secretion (B)</p> Signup and view all the answers

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

<p>Suggests increased peristalsis (D)</p> Signup and view all the answers

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