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

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

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

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

    <p>Head to toe</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</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</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</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</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</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</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</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.</p> Signup and view all the answers

    How is a 3+ pulse intensity described?

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

    What does cyanosis and marked edema indicate?

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

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

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

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

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

    What does a capillary refill test help indicate?

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

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

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

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

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

    Which sign suggests liver disease when palpating the abdomen?

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

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

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

    Why is decreased medication absorption associated with certain ethnic groups?

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

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

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

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