NSG 316 Topic 9: Updated A+ Score Solution: Questions & Answers

Where are the femoral arteries located? (Ansjust below inguinal ligament halfway between pubis and anterior superior iliac spines if the femoral artery pulse is weak or diminished... (Ansauscultate site for bruit what is one way to expose the femoral artery (Ansask person to bend his or her knees to side in a froglike position how do you check popliteal pulse (AnsWith leg extended but relaxed, anchor your thumbs on knee, and curl your fingers around into popliteal fossa -Press your fingers forward hard to compress artery against bone (lower edge of femur or upper edge of tibia); often it is just lateral to the medial tendonwhat pulse is often impossible to palpate (Ans- popliteal Posterior tibial pulse (Anscurve your fingers around medial malleolus o Feel the tapping right behind it in groove between malleolus and Achilles tendon Dorsalis pedis pulse (Ans- requires a very light touch o Normally it is just lateral to and parallel with extensor tendon of big toe occasionally either dorsalis pedis or posterior tibial pulse may be hard to find in what age group (Ans- In adults over 45 years Check for pretibial edema (Ans- o Firmly depress skin over tibia or medial malleolus for 5 seconds and releaseo Normally your finger should leave no indentation, although a pit commonly is seen if person has been standing all day or during pregnancy grade for pitting edema (Ans- 1+ Mild pitting, slight indentation, no perceptible swelling 2+ Moderate pitting, indentation subsides rapidly 3+ Deep pitting, indentation remains, leg looks swollen 4+ Very deep pitting, indentation lasts long time, leg very swollen when does arterial circulation deficit worsen (Ans- with elevation of the legs causing pallor color of light-skinned person's feet (Ans- a little pale but still should be pink color of dark-skinned person's feet (Ans- soles should reveal extreme color change how long does it take for color to normally return to feet (Ans- 10 seconds or lessDependent rubor (Ans- deep blue-red color of the lower extremities; caused by severe arterial insufficiency.