Exam 3) NSG 316 Exam 3: NSG 316 Exam 3 Study Guide: Latst Updated

cardiac factors (assessment) (Ans- -Nutrition: usual weight, changes, basic food groups, additives, calorie intake, cholesterol -Smoking -Meds: OTCs, antihypertensives, beta blockers, Ca channel blocker, digoxin, diuretics, aspirin/anticoagulant -Alcohol -Exercise -Env. -Fam hx how to document murmur (Ans- how it sounds, when it was heard, was it heard continuously, quality of sound, low/high pitch, intensity (how loud, use grade I-VI), where it sounds. Occurs when velocity of blood increases (exercise and thyrotoxicosis), viscosity of blood decreases (anemia) structural defects in valves (Ans- narrowed valve/ incomplete valveperipheral vascular system in aging adult (Ans- -vessels become more rigid (arteriosclerosis) -DP and PT pulses may become more difficult to find -Arterial insufficiency -Loss of lymphatic tissue, fewer lymph nodes, decreased size of nodes peripheral vascular system assessment (Ans- -examine arms, edema, DVT, injury, cap refill -compare both extremities -legs deep vein thrombosis (Ans- blood clot forms in a large vein, usually in a lower limb acute (14 days) with unilateral pain chronic venous stasis (Ans- brown discoloration. deposits of RBC degradationchronic arterial deficit causes (Ans- ulcers on the toes peripheral vascular system inspection (Ans- -ask pt to stand to assess venous flow -note varicose veins, swelling, fatigue and color changes you would expect to see what in a pt with breast cancer (Ans- obstructive lymph peripheral vascular system palpation (Ans- -radial pulse (rate, rhythm, elasticity, force) -brachial pulse -femoral artery -popliteal pulse (hardest to find) -post. tibial and dorsalis pedis pulseposterior tibialis palpation (Ans- curve fingers around medial malleolus how would rhythm be documented (Ans- regular/irregular, fast/slow