NR 304-Exam 1 Questions With Complete Solutions
Allen Test Correct Answers to test for ulnar arterial
competency. Occlude both arteries (hand will turn white since
all bloodflow is being occluded. Then release ulnar artery, and
observe to see whether the ulnar artery is enough to turn hand
pack of pink
apex of heart Correct Answers 5th intercostal space (this is
referred to as the PMI - Point of Maximum Impulse of heart)
Arterial Ulcer/insufficiency Correct Answers Cool temp , decr.
pulses
Lack of hair growth
Skin is thin and shiny (NO edema)
Ulcer - smooth, well defined borders
Ulcer - No granulation tissue
Ulcer -- deep
arteries Correct Answers high pressure blood vessels, receive
their direct pressure form the Left ventricle, main job is to
distribute blood to other parts of the body.
base of the heart Correct Answers Can be auscultated over the
second or third left intercostal space.
brawny edema Correct Answers non-pitting edema, hard to
touch
Bright red stool Correct Answers blood in stool has not been
digested-lower GI-hemorroids
, bruit Correct Answers A murmur or sound heard in
auscultation of an artery
Color Change Correct Answers Arterial insufficiency—pain
with leg elevation, and foot will have pallor when raised, pallor
throughout extremities (5Ps). Venous insuffiency--- When feet
are raised, will feel relief because helping venous return.
diastole Correct Answers Period in which the ventricle relaxes
Doppler study Correct Answers if pulses are too weak to be
detected by palpation, this device is used—noninvasive test
using sound waves to detect blood flow through blood vessels.
How are the fluid wave and shifting dullness tests performed?
What do they indicate? Correct Answers Fluid wave - push on
one side of patient's abdomen - with patient supine - put patient
hand in middle and feel wave (if there is fluid) on other side of
abdomen.. if not fluid but fat, the patient hand will stop the
"wave" - Shifting dullness - percuss as patient is supine from
tympani to dullness then have lay on side and do same. IF fluid,
the fluid shifts and dullness shifts - both indicate ascites = 3rd
space or extracell. Spacing of fluid from VEINS and PROTEIN
which pulls more fluid from the veins = edema
How do you percuss liver span? Correct Answers Hold breath
or let out all breath - (liver moves) and percuss downward at L
Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
Allen Test Correct Answers to test for ulnar arterial
competency. Occlude both arteries (hand will turn white since
all bloodflow is being occluded. Then release ulnar artery, and
observe to see whether the ulnar artery is enough to turn hand
pack of pink
apex of heart Correct Answers 5th intercostal space (this is
referred to as the PMI - Point of Maximum Impulse of heart)
Arterial Ulcer/insufficiency Correct Answers Cool temp , decr.
pulses
Lack of hair growth
Skin is thin and shiny (NO edema)
Ulcer - smooth, well defined borders
Ulcer - No granulation tissue
Ulcer -- deep
arteries Correct Answers high pressure blood vessels, receive
their direct pressure form the Left ventricle, main job is to
distribute blood to other parts of the body.
base of the heart Correct Answers Can be auscultated over the
second or third left intercostal space.
brawny edema Correct Answers non-pitting edema, hard to
touch
Bright red stool Correct Answers blood in stool has not been
digested-lower GI-hemorroids
, bruit Correct Answers A murmur or sound heard in
auscultation of an artery
Color Change Correct Answers Arterial insufficiency—pain
with leg elevation, and foot will have pallor when raised, pallor
throughout extremities (5Ps). Venous insuffiency--- When feet
are raised, will feel relief because helping venous return.
diastole Correct Answers Period in which the ventricle relaxes
Doppler study Correct Answers if pulses are too weak to be
detected by palpation, this device is used—noninvasive test
using sound waves to detect blood flow through blood vessels.
How are the fluid wave and shifting dullness tests performed?
What do they indicate? Correct Answers Fluid wave - push on
one side of patient's abdomen - with patient supine - put patient
hand in middle and feel wave (if there is fluid) on other side of
abdomen.. if not fluid but fat, the patient hand will stop the
"wave" - Shifting dullness - percuss as patient is supine from
tympani to dullness then have lay on side and do same. IF fluid,
the fluid shifts and dullness shifts - both indicate ascites = 3rd
space or extracell. Spacing of fluid from VEINS and PROTEIN
which pulls more fluid from the veins = edema
How do you percuss liver span? Correct Answers Hold breath
or let out all breath - (liver moves) and percuss downward at L
Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
