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perpherial questions for lab

Terms in this set (30)

A client reports pain in the legs that begins with walking but is relieved by rest. Which condition should the nurse assess the client for?
Peripheral vascular problems
The nurse assesses the client as shown. What pulse is the nurse assessing?
Posterior tibial
When analyzing the nursing history recently taken on a client, which factor would most strongly alert the nurse to a significantly increased risk for chronic arterial insufficiency?
14-year history of smoking a pack a day
Patients with PAD need to understand why it is important to monitor
triglyceride levels
A student in the vascular surgery clinic is asked to perform a physical examination on a client with known peripheral vascular disease in the legs. Which of the following aspects are most important to note?
Size, symmetry, and skin color
The nurse documents a 2+ radial pulse. What assessment data indicated this result?
brisk, expected (normal) pulse
When analyzing the nursing history recently taken on a client, which factor would alert the nurse to a significantly increased risk for chronic arterial insufficiency?
Cigarette smoking
Goals, although not specific for peripheral vascular disease, focus on areas of risk. What are these areas of modifiable risk? Select all that apply.
Smoking
Overweight
Lack of exercise
The nurse is caring for a client who is employed as a typist and has a family history of peripheral vascular disease. The nurse should instruct the client to reduce her risk factors by
getting regular exercise.
The popliteal artery can be palpated at the
knee
A 72-year-old retired teacher comes to the clinic for an annual examination. She is concerned about her risk for peripheral vascular disease and states that there is a place in town that does tests to let her know her if she has this or not. Which of the following disease processes are risk factors for peripheral vascular disease?
Coronary artery disease
The nurse is preparing to palpate the posterior tibial pulse. At which location would the nurse expect to palpate?
Behind the ankle
When assessing a client for possible varicose veins, which of the following would the nurse do?
Have the client stand for the exam
The posterior tibial pulse can be palpated at the
ankle.
What should a nurse do if a posterior tibial pulse cannot be obtained on a client with edema of the feet?
Use a Doppler to assess for the presence of the pulse.
A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?
It filters harmful substances from the body.
While assessing the inguinal lymph nodes in an older adult client, the nurse detects that the lymph nodes are approximately 3 cm in diameter, nontender, and fixed. The nurse should refer the client to a physician because these findings are generally associated with
malignancy.
The nurse is preparing to conduct a peripheral vascular and lymphatic physical examination of a client's legs. What instructions should the nurse provide the client in order to prepare for this examination? (Select all that apply.)
Remove clothing below the waist.
Lay on your back on a bed or examination table.
Be prepared to lay on your stomach for a portion of the examination.
A 57-year-old maintenance worker comes to the office for evaluation of pain in his legs. He is a two-pack per day smoker since the age of 16, but he is otherwise healthy. The nurse is concerned that the client may have peripheral arterial disease. Which of the following is a common symptom that could indicate peripheral arterial disease?
Intermittent claudication
If palpable, superficial inguinal nodes are expected to be:
Nontender, mobile, and 1 cm in diameter
While performing an assessment the nurse presses the client's arm with the tip of her thumb, holds for a few seconds and releases. The nurse observes the client as shown. What is the nurse assessing?
pitting edema
The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?
Use Doppler ultrasonography to locate the pulse.
A nurse palpates a client's hands and fingers. Which of the following findings would be consistent with arterial insufficiency?
cool skin
The nurse is planning care for a client recovering from orthopedic surgery. Interventions should be included to address which contributing factor to deep vein thrombosis development?
Immobility
The client has a history of breast cancer with reconstructive surgery. The nurse should assess the client for what potential complication?
Lymphedema
The six Ps of peripheral arterial occlusion include which of the following?
Paresthesia
A nurse assesses capillary refill time in a client and finds it to be less than 2 seconds. What is an appropriate action by the nurse?
document as normal finding
Which of the following assessment findings is most congruent with chronic arterial insufficiency?
Cool foot temperature and ulceration on the client's great toe
A client visits the clinic and tells the nurse that she had a mastectomy 2 years ago. The nurse should assess the client for
lymphedema
The major artery that supplies blood to the arm is the
brachial artery
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