Nursing Assessment Techniques for Lower Extremities
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Questions and Answers

What is the most common cause of death in the United States?

  • Cardiovascular diseases (correct)
  • Cancer
  • Respiratory diseases
  • Diabetes
  • Which method is NOT utilized for the assessment of cardiovascular and peripheral systems?

  • Auscultation
  • MRI scanning (correct)
  • Palpation
  • Observation
  • What should be included in a nursing history when assessing cardiovascular symptoms?

  • Past medical history (correct)
  • Dietary preferences
  • Preferred vacation destination
  • Favorite color
  • Which of the following is an important question to ask regarding cardiovascular symptoms?

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

    Which of the following is a relevant question to assess lifestyle impact of cardiovascular symptoms?

    <p>How does it affect your lifestyle?</p> Signup and view all the answers

    What type of skin changes are examples of peripheral vascular system issues?

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

    Which of the following is an important question when assessing symptom triggers?

    <p>'Does any particular incident trigger the symptom?'</p> Signup and view all the answers

    What should be considered when asking about symptom alleviation methods?

    <p>'What activities alleviate the symptoms?'</p> Signup and view all the answers

    Which grading indicates a full/bounding pulse?

    <p>3+</p> Signup and view all the answers

    What does non-pitting edema feel like when touched?

    <p>Hard to touch with indentation</p> Signup and view all the answers

    How is mild pitting edema (1+) characterized?

    <p>Slight pitting with slight indentation</p> Signup and view all the answers

    What does pallor while a limb is elevated followed by a dusky red color when lowered indicate?

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

    In the capillary refill test, what does it indicate if normal color doesn't return in 3 seconds?

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

    What is the major risk factor for heart disease and stroke among the listed choices?

    <p>High blood pressure</p> Signup and view all the answers

    Which population group has a higher incidence of hypertension compared to Caucasians?

    <p>African Americans, Puerto Ricans, Cubans &amp; Latinos</p> Signup and view all the answers

    What does a bounding pulse indicate?

    <p>Normal pulse rate and rhythm</p> Signup and view all the answers

    Which group has three times the risk of developing diabetes compared to non-Hispanic Caucasians in the U.S.?

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

    What is a characteristic of proximal arteries in individuals at risk of diabetes?

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

    What is a recommended approach to reduce the risk of diabetes?

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

    Why is it important for healthcare providers to inspect the oral mucosa during an assessment?

    <p>To detect changes like redness or swelling</p> Signup and view all the answers

    What should a nurse advise a client to do before an abdominal assessment?

    <p>Void before the assessment</p> Signup and view all the answers

    What does the presence of purple striae on the skin indicate?

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

    What might asymmetric contour in the abdomen suggest?

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

    During a physical assessment, what is the recommended order of inspection technique?

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

    What is the defining characteristic used to identify postural (orthostatic) hypotension?

    <p>Decrease in systolic BP by 20 mmHg</p> Signup and view all the answers

    What is the significance of assessing neck veins for pulsation and distension?

    <p>To assess for jugular vein distension (JVD)</p> Signup and view all the answers

    Where should the auscultation start during the examination of the heart?

    <p>Base of the heart</p> Signup and view all the answers

    What is the significance of identifying a 'displaced Point of Maximal Impulse (PMI)' during a cardiac assessment?

    <p>May indicate left ventricular failure</p> Signup and view all the answers

    Which phase of the cardiac cycle is associated with the 1st sound (S1) heard during auscultation?

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

    What is the significance of identifying an S3 sound during a cardiac examination?

    <p><strong>Indicates left ventricular failure</strong></p> Signup and view all the answers

    What is a sign of liver disease that can be observed during a physical examination?

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

    What does a loud bruit during abdominal auscultation suggest?

    <p>Hyperactive bowel sounds (&gt;35 per minute)</p> Signup and view all the answers

    What is a common characteristic of individuals with high lactose intolerance?

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

    Which reflex is initiated by food entering the stomach and duodenum to facilitate bowel elimination?

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

    What is a characteristic of individuals with muscle wasting and loss of fibroconnective tissue?

    <p>Higher pain threshold</p> Signup and view all the answers

    Which group has a high incidence of colon cancer?

    <p>African Americans, Native Americans, Asians, and Mediterranean groups</p> Signup and view all the answers

    What does tenderness near the xiphoid process, over cecum, and over sigmoid colon suggest during palpation?

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

    What is a common characteristic of individuals with high fiber diets?

    <p>Teaching effects of duodenocolic reflexes</p> Signup and view all the answers

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