38 Questions
What is the most common cause of death in the United States?
Cardiovascular diseases
Which method is NOT utilized for the assessment of cardiovascular and peripheral systems?
MRI scanning
What should be included in a nursing history when assessing cardiovascular symptoms?
Past medical history
Which of the following is an important question to ask regarding cardiovascular symptoms?
How much does the symptom bother you?
Which of the following is a relevant question to assess lifestyle impact of cardiovascular symptoms?
How does it affect your lifestyle?
What type of skin changes are examples of peripheral vascular system issues?
Edema
Which of the following is an important question when assessing symptom triggers?
'Does any particular incident trigger the symptom?'
What should be considered when asking about symptom alleviation methods?
'What activities alleviate the symptoms?'
Which grading indicates a full/bounding pulse?
3+
What does non-pitting edema feel like when touched?
Hard to touch with indentation
How is mild pitting edema (1+) characterized?
Slight pitting with slight indentation
What does pallor while a limb is elevated followed by a dusky red color when lowered indicate?
Arterial insufficiency
In the capillary refill test, what does it indicate if normal color doesn't return in 3 seconds?
Peripheral insufficiency
What is the major risk factor for heart disease and stroke among the listed choices?
High blood pressure
Which population group has a higher incidence of hypertension compared to Caucasians?
African Americans, Puerto Ricans, Cubans & Latinos
What does a bounding pulse indicate?
Normal pulse rate and rhythm
Which group has three times the risk of developing diabetes compared to non-Hispanic Caucasians in the U.S.?
Latinos
What is a characteristic of proximal arteries in individuals at risk of diabetes?
Thinner and dilate
What is a recommended approach to reduce the risk of diabetes?
Balanced diet
Why is it important for healthcare providers to inspect the oral mucosa during an assessment?
To detect changes like redness or swelling
What should a nurse advise a client to do before an abdominal assessment?
Void before the assessment
What does the presence of purple striae on the skin indicate?
Distention
What might asymmetric contour in the abdomen suggest?
Hernia or tumor
During a physical assessment, what is the recommended order of inspection technique?
Cephalocaudal
What is the defining characteristic used to identify postural (orthostatic) hypotension?
Decrease in systolic BP by 20 mmHg
What is the significance of assessing neck veins for pulsation and distension?
To assess for jugular vein distension (JVD)
Where should the auscultation start during the examination of the heart?
Base of the heart
What is the significance of identifying a 'displaced Point of Maximal Impulse (PMI)' during a cardiac assessment?
May indicate left ventricular failure
Which phase of the cardiac cycle is associated with the 1st sound (S1) heard during auscultation?
Systole
What is the significance of identifying an S3 sound during a cardiac examination?
Indicates left ventricular failure
What is a sign of liver disease that can be observed during a physical examination?
Visible peristalsis
What does a loud bruit during abdominal auscultation suggest?
Hyperactive bowel sounds (>35 per minute)
What is a common characteristic of individuals with high lactose intolerance?
Slower peristalsis
Which reflex is initiated by food entering the stomach and duodenum to facilitate bowel elimination?
Gastrocolic reflex
What is a characteristic of individuals with muscle wasting and loss of fibroconnective tissue?
Higher pain threshold
Which group has a high incidence of colon cancer?
African Americans, Native Americans, Asians, and Mediterranean groups
What does tenderness near the xiphoid process, over cecum, and over sigmoid colon suggest during palpation?
Tenderness and hypersensitivity
What is a common characteristic of individuals with high fiber diets?
Teaching effects of duodenocolic reflexes
Learn about nursing assessment techniques for lower extremities including inspecting, palpating, checking skin temperature, and assessing range of motion and muscle strength. Understand how to grade the intensity and strength of pulses.
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