Walden week 6 Seidel's test bank CH 15, questions and answer

Walden week 6 Seidel's test bank CH 15, questions and answer The structure that carries oxygenated blood to the body from the left ventricle is the: aorta Induration, edema and hyperpigmentation are common associated findings with which of the following? Venous ulcer In which location would carotid bruits be heard best? Anterior margin of the sternocleidomastoid muscle The characteristics of arterial pulses are directly affected by all the following except: venous valvular competence. The most prominent component of the jugular venous pulse is the: a wave. In newborn infants, closure of the ductus arteriosus usually occurs: 12 to 14 hours after birth. Mrs. Carrol is a 33-year-old patient who is pregnant and presents for a routine checkup. On examination, you note that her blood pressure has decreased. Blood pressure normally decreases during which period? Second trimester of pregnancy During a routine prenatal visit, Ms. T was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: are usual conditions during pregnancy. Vascular changes expected in the older adult include: loss of vessel elasticity. Persons of Irish or German descent and genetically predisposed women who take birth control pills are at risk for developing varicose veins. The amplitude of pulses is recorded on a(n): numeric scale of 0 to 4. Which of the following statements is true regarding the examination of peripheral arteries? The pulses are most readily felt over bony prominences. Which arterial pulse is most useful for evaluating heart activity? Carotid A pulsation that is diminished to the point of being barely palpable would be graded as: 1. The term claudication refers to: pain from muscle ischemia. Conduction system impairment should be suspected if an irregular heartbeat is: paradoxical. An idiopathic spasm of arterioles in the digits is termed: Raynaud disease. A major risk factor for arterial embolic disease is: atrial fibrillation. You are examining Mr. S, a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of peripheral arterial disease? Loss of hair over the extremities You are performing a physical examination on a 46-year-old male patient. His examination findings include the following: positive peripheral edema, holosystolic murmur in the tricuspid region, and a pulsatile liver. His diagnosis is: tricuspid regurgitation. A sound similar to a murmur that is heard over arteries is a: bruit. A characteristic distinguishing primary Raynaud phenomenon from secondary Raynaud phenomenon includes which of the following? Digital ischemia with pain. In children, coarctation of the aorta should be suspected if you detect: a delay between the radial and femoral pulses Kawasaki disease is suspected when assessment of a child reveals conjunctival injection, strawberry tongue, and edema of the hands and feet. Which of the following statements is true regarding the development of venous ulcers in older adults? Diabetes, peripheral neuropathy, and nutritional deficiencies are causative factors. When examining arterial pulses the thumb may be used: especially if vessels have a tendency to move. In differentiating between an occluded artery and occluded vein, a distinguishing sign (present in venous but not arterial occlusion) is: edema. To assess a patient's jugular veins, the patient should first be placed in which position? Supine Observation of hand veins can facilitate assessment of: right heart pressure. You are assessing Mr. Z's fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: 3+ If pitting edema is unilateral, you would suspect occlusion of a: major vein. Thrombosis of a leg vein should be suspected if the patient feels calf pain: on dorsiflexion of the foot. Which of the following statements is most accurate in describing hepatojugular reflux? It is exaggerated in patients with right heart failure. You are performing jugular venous pressure measurement for your patient in heart failure. You see a pulse wave with the patient's head elevated at a 45-degree angle. Your action as a result of this assessment is to: confirm that the pulsations decrease with inspirations. A bounding pulse in an infant may be associated with: patent ductus arteriosus. In infants or small children, a capillary refill time of 4 seconds: indicates dehydration or hypovolemic shock A venous hum heard over the internal jugular vein of a child: usually has no pathologic significance. In pregnancy, blood pressure is at its lowest at: 16 to 20 weeks. You are palpating bilateral pedal pulses and cannot feel one of the pulses. The feet are equally warm. You find that both great toes are pink, with a capillary refill within 2 seconds. Which of the following statements is correct? Pedal pulses are not always palpable. The arterial pulse is produced by ____________________. ventricular systole The level at which the jugular venous pulse is visible gives an indication of _________________________. right atrial pressure When palpating the carotid artery, which of the following is most important? (Select all that apply.) a. Rotate the patient's head to the side being examined to relax the sternocleidomastoid. b. Excessive carotid sinus massage can compromise blood flow to the brain. c. Excessive carotid sinus massage can cause slowing of the pulse. Which of the following are risk factors for varicose veins? (Select all that apply.) a. Gender c. Lower extremity trauma d. Increased body mass