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Exam (elaborations)

NR 304 Final Exam || with 100% Correct Answers.

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NR 304 Final Exam || with 100% Correct Answers.

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NR 304 Final Exam || with 100% Correct Answers.


arteries correct answers active blood flow


veins correct answers passive blood flow - do not have a pulse, returns to the heart via movement
through the skeletal muscles


femoral pulse site correct answers groin


popliteal pulse site correct answers back of knee


radial pulse site correct answers Located at the wrist on the thumb side


dorsalis pedis pulse site correct answers top of foot


posterior tibial pulse site correct answers on medial surface of ankle near ankle bone


ischemia correct answers Lack of blood supply, causes pain


necrosis correct answers long term lack of blood supply, tissue death


axillary lymph nodes correct answers located under the arms in the armpits


cervical lymph nodes correct answers located along the sides of the neck


Epitrochlear lymph nodes correct answers Epitrochlear lymph nodes- drains from the hand and
forearm

,inguinal lymph nodes correct answers located in the inguinal (groin) area of the lower abdomen


Children and Lymph Nodes correct answers nodes can be enlarged with no pain/infection


Pregnancy and PV correct answers dependent edema, varicose veins


peripheral artery disease correct answers A form of peripheral vascular disease in which there is
partial or total blockage of an artery, usually one leading to a leg or arm. 50% of cases are
African Americans. RF: smoking, HTN, diabetes


intermittent claudication correct answers when walking, muscle needs more O2 blood, and you
have any kind of occlusion, when walking pain is increased


Pulse Scale correct answers 0: absent
1+: weak
2+: normal
3+: increased, full, bounding


Allen test correct answers determining the patency of the radial and ulnar arteries by
compressing one artery site and observing return of skin color as evidence of patency of the other
artery, determine if radial artery has been damaged, press radial artery then see if ulnar artery
perfuses to hand


venous ulcers correct answers bleed, medial malleolus


arterial (ischemic) ulcers correct answers does not bleed, has a necrotic black crust, lateral
malleolus


neuropathic ulcer correct answers destroys nerve endings, burning pain/numbness

,Edema Scale correct answers • 1+ Mild pitting, slight indentation, no perceptible swelling of the
leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen


Doppler ultrasound correct answers determine location of pulse


Raynaud's disease correct answers autoimmune, sporadic vasoconstriction then relaxation,
happens in hands/toes usually


Lymphadema correct answers enlarged lymph nodes, hard edema


Varicose veins correct answers abnormally swollen, twisted veins with defective valves; most
often seen in the legs


DVT correct answers inflammatory process, swelling, redness, heat, pain, happens from
venastasis, pooling of blood in calf
-tachycardia, low grade temp
-women on birth control who smoke are at a higher risk, and also those who are dehydrated since
blood is more viscous
-Do not perform homan's sign test (flexing foot back)


anneurysm correct answers can be born with or develop, serious with abdominal aorta/coronary
arteries/brain


Decreased Arterial Flow correct answers doesn't work well around gravity, blue then pallor

, Decreased Venous Flow correct answers brown, using muscles improves


What happens when valves of the veins do not work right correct answers edema/varicose veins


arterial insufficiency correct answers not getting enough arterial blood flow = ischemic pain,
usually happens on one leg, leg appears shiny, hairless, red/blue then pallor, limb gets cool, pain
gets better when resting since the limb doesn't need as much O2 blood flow (intermittent
claudication), gravity works for it when legs are down, causes impotence in males, can affect
nails/toes


venous insufficiency correct answers constant, achy, fullness, pain. Pain gets better by moving.
When you stand/sit pain gets worse. Gravity works against when legs are down. Usually happens
on both legs, skin turns red/brown, starts below the knee to the ankle, skin is scaly, can get slits
in skin (weeping edema), there is no cure, no change in skin temp.


pulse correct answers rhythm, rate, symmetry, amplitude/strength


arterial occlusion correct answers -extreme coolness
-pain
-loss of sensation
-hair loss and skin changes
-pallor
-pulselessness


arterial insufficiency correct answers -intermittent claudation (pain brought on by exercise and
relieved with rest)
-hair loss on toes and shiny skin
-impotence
-pain (gnawing, sharp or stabbing and increases with exercise, relieved with rest)
-decreased pulses

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