NR 304 EXAM 3 ALL QUESTIONS
WITH CORRECT ANSWERS
When do you use a doppler?
Use this device to detect a weak peripheral pulse, to measure low blood pressure or
blood pressure in lower extremity
Raynaud's disease
recurrent episodes of pallor and cyanosis primarily in fingers and toes
Is clubbing is caused by chronic hypoxemia or is it related to peripheral
vascular disease?
Caused by chronic hypoxemia (Low oxygen in the blood)
What to know about capillary refill?
Always check bilaterally! its a safety check
What are the four quadrants of the abdomen?
RUQ, LUQ, RLQ, LLQ
What helps keep veins flowing back to the heart?
Veins have valves that pump the blood up with movement
What is varicose veins?
dilated, swollen veins that have lost elasticity and cause stasis, or decreased blood
flow
What does varicose veins do to the valves with in the veins?
They create incompetent valves leading to increased venous pressure which dialates
the veins more.
Where is the spleen located and what is its function?
Left upper quadrant
•Destroy old red blood cells
•Produce antibodies
•Store red blood cells
•Filter microorganisms from blood
Function of the tonsils and location
,Help defend the body against infection by trapping pathogens that enter the throat.
Located in the back of the throat
Function and location of thymus gland
Located behind the sternum, in front of the aorta
Produce T-cells
What peripheral vascular changes happen with pregnant women?
-Vasodilation, resulting in drop in B/P
-Growing uterus obstructs drainage of iliac veins and inferior vena cava. Leads to
edema and hemorrhoids
-Must sleep on left side
-Sleeping in supine decreases blood flow to the placenta
What peripheral vascular changes happen with Aging Adults
-Blood vessels grow more rigid= arteriosclerosis & PAD
-Intramuscular veins progressively enlarge
-Loss of lymph tissue, lymph nodes, and decrease of size in lymph nodes.
Which ethnicity has a high risk of PAD?
African Americans
OLDCARTS
Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
S&S of Arterial Insufficiency
-Cool to touch
-Thin, dry/scaly skin
-Hairless
-Thick toenails
What do we do with a patients legs when they have Arterial insufficiency
Dangle legs
, What do arterial insufficiency lesions/ulcers look like and where are they
located?
Located: End of toes, Top of feet, and lateral ankle region
Ulcer:
-Little granulation
-color is pale,
-light pink, or black
-Punched out with noticeable margins
-gives round appearance
S&S of Venous Insufficiency
Warm to touch
Brownish in color
What do we do with a patients legs when they have Venous insufficiency
Elevate legs
What do venous insufficiency lesions/ulcers look like and where are they
located?
Located:
Medial parts of lower legs
Medial parts of ankle region.
Ulcer:
-Swollen w/ drainage
-Granulation present
-Color is deep pink to red
-Edges are irregular
-Shallow in depth
Do people tend to get edema in arterial or venous insufficiency?
Venous insufficiency
Modified Allens test
Determines if there are two blood supplies to hand. Avoids ischemic damage with
arterial blood draw.
1. The hand is elevated and the patient/person is asked to make a fist for about 30
WITH CORRECT ANSWERS
When do you use a doppler?
Use this device to detect a weak peripheral pulse, to measure low blood pressure or
blood pressure in lower extremity
Raynaud's disease
recurrent episodes of pallor and cyanosis primarily in fingers and toes
Is clubbing is caused by chronic hypoxemia or is it related to peripheral
vascular disease?
Caused by chronic hypoxemia (Low oxygen in the blood)
What to know about capillary refill?
Always check bilaterally! its a safety check
What are the four quadrants of the abdomen?
RUQ, LUQ, RLQ, LLQ
What helps keep veins flowing back to the heart?
Veins have valves that pump the blood up with movement
What is varicose veins?
dilated, swollen veins that have lost elasticity and cause stasis, or decreased blood
flow
What does varicose veins do to the valves with in the veins?
They create incompetent valves leading to increased venous pressure which dialates
the veins more.
Where is the spleen located and what is its function?
Left upper quadrant
•Destroy old red blood cells
•Produce antibodies
•Store red blood cells
•Filter microorganisms from blood
Function of the tonsils and location
,Help defend the body against infection by trapping pathogens that enter the throat.
Located in the back of the throat
Function and location of thymus gland
Located behind the sternum, in front of the aorta
Produce T-cells
What peripheral vascular changes happen with pregnant women?
-Vasodilation, resulting in drop in B/P
-Growing uterus obstructs drainage of iliac veins and inferior vena cava. Leads to
edema and hemorrhoids
-Must sleep on left side
-Sleeping in supine decreases blood flow to the placenta
What peripheral vascular changes happen with Aging Adults
-Blood vessels grow more rigid= arteriosclerosis & PAD
-Intramuscular veins progressively enlarge
-Loss of lymph tissue, lymph nodes, and decrease of size in lymph nodes.
Which ethnicity has a high risk of PAD?
African Americans
OLDCARTS
Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
S&S of Arterial Insufficiency
-Cool to touch
-Thin, dry/scaly skin
-Hairless
-Thick toenails
What do we do with a patients legs when they have Arterial insufficiency
Dangle legs
, What do arterial insufficiency lesions/ulcers look like and where are they
located?
Located: End of toes, Top of feet, and lateral ankle region
Ulcer:
-Little granulation
-color is pale,
-light pink, or black
-Punched out with noticeable margins
-gives round appearance
S&S of Venous Insufficiency
Warm to touch
Brownish in color
What do we do with a patients legs when they have Venous insufficiency
Elevate legs
What do venous insufficiency lesions/ulcers look like and where are they
located?
Located:
Medial parts of lower legs
Medial parts of ankle region.
Ulcer:
-Swollen w/ drainage
-Granulation present
-Color is deep pink to red
-Edges are irregular
-Shallow in depth
Do people tend to get edema in arterial or venous insufficiency?
Venous insufficiency
Modified Allens test
Determines if there are two blood supplies to hand. Avoids ischemic damage with
arterial blood draw.
1. The hand is elevated and the patient/person is asked to make a fist for about 30
