NR 304- Health Assessment II Final Exam
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Palpate both pulses noting the rate, rhythm, elasticity
palpation of radial pulse
of vessel wall and equal force
3+ full bounding
2+ normal
grading pulse
1+ weak
0 absent
brachial pulse palpate this pulse if you suspect arterial insufficiency
tests for ulnar arterial
insufficiency by occluding both
the radial and ulnar artery
normal results: normal color of
hand should reappear
modified Allen's test
approximately 2-5 seconds
abnormal results: pallor persists
or a sluggish return to color
suggest occlusion of the
collateral arterial flow
temporal artery palpated in front of the ear
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palpated in the groove b/t the
sternomastoid muscle and the
carotid artery
trachea
major artery supplying the arm
brachial artery
lies medial to the radius and
wrist supplies blood to the hand
radial artery
lies lateral to the ulna. Deeper
and often difficult to feel.
ulnar artery
Supplies blood to the hand
major artery in the leg. Palpated
in the inguinal area
femoral artery
artery in the knee. Located
posterior to the patella. Divides
popliteal artery
into the anterior and posterial
tibial artery
travels down the front of the leg
on to the dorsal of the foot
becomes the dorsalis pedis.
anterior tibial
carries blood to the anterior
compartment of the leg and
dorsal surface of the foot
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travels down behind the medial
malleolus and forms the plantar
arteries in the foot.
posterior tibial
carries blood to the posterior
compartment of the leg and
plantar surface of the foot
a blood vessel of the lower limb
that carries oxygenated blood
dorsalis pedis
to the dorsal surface of the foot
the number of blocks walked or stairs climbed to
claudication distance
produce pain
pain in the calf, thigh or hip or muscle fatigue that
arterial claudication occurs when walking a certain distance related to
peripheral arterial disease (PAD)
checking for capillary refill by blanching the nail beds
peripheral perfusion and noting the time for color return
normal is less than 1-2 seconds
used if pulses are too weak to detect by palpation,
monitor blood pressure in infants or children, measure
low blood pressure or blood pressure in the lower
doppler extremities
A noninvasive test using sound waves to detect blood
flow through blood vessels
ex. competent valves (varicosities)
edema fluid build up in the interstitial space
circulation disorder in which narrowed blood vessels
reduce blood flow to the limbs. Caused by
PVD arteriosclerosis (hardening of arteries caused by
plaque build up)
Inspect skin for ulcers, temperature and color
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