NSG6020 WEEK 6 PV INTEG STUDY GUIDE
I I I I I I I
You Iare Iassessing Ia I59-year-old Igas Istation Iowner Ifor Iatherosclerosis Iin Ithe Ilower
I extremities. IIn Iwhich Iof Ithe Ifollowing Ilocations Iwould Ithe Ipatient's Ipain Imake
I you Iconcerned Ifor Ithis Idisease Iprocess? ICalf
A I57-year-old Imaintenance Iworker Icomes Ito Iyour Ioffice Ifor Ievaluation Iof Ipain Iin
I his Ilegs. IHe Ihas Ismoked Itwo Ipacks Iper Iday Isince Ithe Iage Iof I16, Ibut Ihe Iis
I otherwise Ihealthy. IYou Iare Iconcerned Ithat Ihe Imay Ihave Iperipheral Ivascular
I disease. IWhich Iof Ithe Ifollowing Iis Ipart Iof Icommon Ior Iconcerning Isymptoms Ifor
I the Iperipheral Ivascular Isystem? IIntermittent Iclaudication
A Ipatient Ihas Ibilateral Ipitting Iedema Iof Ithe Ifeet. IWhile Iassessing Ithe Iperipheral
I vascular Isystem, Ithe Inurse's Iprimary Ifocus Ishould Ibe: I
Venous Ifunction Iof Ithe Ilower Iextremities
A Ipatient Ihas Ia Ipositive IHomans' Isign. IThe Inurse Iknows Ithat Ia Ipositive IHomans'
I sign Imay Iindicate: I I I Ideep Ivein Ithrombosis.
The Imajor Iartery Ithat Isupplies Iblood Ito Iarm I I Ibrachial Iartery
To Iassess Ithe Idorsalis Ipedis Iartery, Ithe Inurse Iwould Ipalpate
lateral Ito Ithe Iextensor Itendon Iof Ithe Igreat Itoe. IThe Idorsalis Ipedis Iartery Iis Ilocated Ion Ithe
dorsum Iof Ithe Ifoot. IPalpate Ijust Ilateral Ito Iand Iparallel Iwith Ithe Iextensor Itendon Iof Ithe Ibig Itoe.
I
, The Inurse Iis Ireviewing Ian Iassessment Iof Ia Ipatient's Iperipheral Ipulses Iand Inotices
I that Ithe Idocumentation Istates Ithat Ithe Iradial Ipulses Iare I"2+." IThe Inurse
I recognizes Ithat Ithis Ireading Iindicates Iwhat Itype Iofpulse?
A.Bounding
B.Normal
C.Weak
D.Absent
Which Iof Ithe Ifollowing Iassessment Ifindings Iis Imost Iconsistent Iwith Iclubbing Iof
I the Ifingernails?
An Iangle Iof Ithe Inail Ibase Iof I180 Idegrees Ior Igreater Iwith Ia Inail Ibase Ithat Ifeels Ispongy
During Ian Iassessment, Ithe Inurse Inotes Ithat Ia Ipatient's Ileft Iarm Iis Iswollen Ifrom
I the Ishoulder Idown Ito Ithe Ifingers, Iwith Inonpitting Iedema. IThe Iright Iarm Iis
I normal. IThe Ipatient Ihad Ia Imastectomy I1 Iyear Iago. IThe Inurse Isuspects Iwhich
I problem?
Lymphedema
Which Iof Ithe Ifollowing Istatements Iis Itrue Iregarding Ithe Iarterial Isystem? I
The Iarterial Isystem Iis Ia Ihigh-pressure Isystem.
When Iassessing Ia Ipatient Ithe Inurse Ipractitioner Idocuments Ithe Ileft Ifemoral Ipulse
I as I0/0-4+. IWhich Iof Ithe Ifollowing Ifindings Iwould Ithe Inurse Ipractitioner Iexpect Iat
I the Idorsalis Ipedis Ipulse?
0/0-4+ I IPulsations Iare Igraded Ion Ia Ifour-point Iscale: I0, Iabsent; I1+, Iweak; I2+, Inormal; I3+,
increased; I4+, Ibounding. IIf Ia Ipulse Iis Iabsent Iat Ithe Ifemoral Isite, Ione Iwould Iexpect Ithe Idorsalis
I
pedis Ipulse Ito Ibe Iabsent Ialso.
I
Which Iof Ithe Ifollowing Iveins Iare Iresponsible Ifor Imost Iof Ithe Ivenous Ireturn Iin Ithe
I arm?
1.Deep Iveins
I I I I I I I
You Iare Iassessing Ia I59-year-old Igas Istation Iowner Ifor Iatherosclerosis Iin Ithe Ilower
I extremities. IIn Iwhich Iof Ithe Ifollowing Ilocations Iwould Ithe Ipatient's Ipain Imake
I you Iconcerned Ifor Ithis Idisease Iprocess? ICalf
A I57-year-old Imaintenance Iworker Icomes Ito Iyour Ioffice Ifor Ievaluation Iof Ipain Iin
I his Ilegs. IHe Ihas Ismoked Itwo Ipacks Iper Iday Isince Ithe Iage Iof I16, Ibut Ihe Iis
I otherwise Ihealthy. IYou Iare Iconcerned Ithat Ihe Imay Ihave Iperipheral Ivascular
I disease. IWhich Iof Ithe Ifollowing Iis Ipart Iof Icommon Ior Iconcerning Isymptoms Ifor
I the Iperipheral Ivascular Isystem? IIntermittent Iclaudication
A Ipatient Ihas Ibilateral Ipitting Iedema Iof Ithe Ifeet. IWhile Iassessing Ithe Iperipheral
I vascular Isystem, Ithe Inurse's Iprimary Ifocus Ishould Ibe: I
Venous Ifunction Iof Ithe Ilower Iextremities
A Ipatient Ihas Ia Ipositive IHomans' Isign. IThe Inurse Iknows Ithat Ia Ipositive IHomans'
I sign Imay Iindicate: I I I Ideep Ivein Ithrombosis.
The Imajor Iartery Ithat Isupplies Iblood Ito Iarm I I Ibrachial Iartery
To Iassess Ithe Idorsalis Ipedis Iartery, Ithe Inurse Iwould Ipalpate
lateral Ito Ithe Iextensor Itendon Iof Ithe Igreat Itoe. IThe Idorsalis Ipedis Iartery Iis Ilocated Ion Ithe
dorsum Iof Ithe Ifoot. IPalpate Ijust Ilateral Ito Iand Iparallel Iwith Ithe Iextensor Itendon Iof Ithe Ibig Itoe.
I
, The Inurse Iis Ireviewing Ian Iassessment Iof Ia Ipatient's Iperipheral Ipulses Iand Inotices
I that Ithe Idocumentation Istates Ithat Ithe Iradial Ipulses Iare I"2+." IThe Inurse
I recognizes Ithat Ithis Ireading Iindicates Iwhat Itype Iofpulse?
A.Bounding
B.Normal
C.Weak
D.Absent
Which Iof Ithe Ifollowing Iassessment Ifindings Iis Imost Iconsistent Iwith Iclubbing Iof
I the Ifingernails?
An Iangle Iof Ithe Inail Ibase Iof I180 Idegrees Ior Igreater Iwith Ia Inail Ibase Ithat Ifeels Ispongy
During Ian Iassessment, Ithe Inurse Inotes Ithat Ia Ipatient's Ileft Iarm Iis Iswollen Ifrom
I the Ishoulder Idown Ito Ithe Ifingers, Iwith Inonpitting Iedema. IThe Iright Iarm Iis
I normal. IThe Ipatient Ihad Ia Imastectomy I1 Iyear Iago. IThe Inurse Isuspects Iwhich
I problem?
Lymphedema
Which Iof Ithe Ifollowing Istatements Iis Itrue Iregarding Ithe Iarterial Isystem? I
The Iarterial Isystem Iis Ia Ihigh-pressure Isystem.
When Iassessing Ia Ipatient Ithe Inurse Ipractitioner Idocuments Ithe Ileft Ifemoral Ipulse
I as I0/0-4+. IWhich Iof Ithe Ifollowing Ifindings Iwould Ithe Inurse Ipractitioner Iexpect Iat
I the Idorsalis Ipedis Ipulse?
0/0-4+ I IPulsations Iare Igraded Ion Ia Ifour-point Iscale: I0, Iabsent; I1+, Iweak; I2+, Inormal; I3+,
increased; I4+, Ibounding. IIf Ia Ipulse Iis Iabsent Iat Ithe Ifemoral Isite, Ione Iwould Iexpect Ithe Idorsalis
I
pedis Ipulse Ito Ibe Iabsent Ialso.
I
Which Iof Ithe Ifollowing Iveins Iare Iresponsible Ifor Imost Iof Ithe Ivenous Ireturn Iin Ithe
I arm?
1.Deep Iveins
