CHAPTER 22 peripheral

Question 1

Can be found/palpated on the lateral aspect of the wrist

Answer 1

Radial artery

Question 2

venous return is impeded
which results in

Answer 2

venous stasis.

Question 3

Each heartbeat creates a surge of blood; this
surge is what we call

Answer 3

arterial pulse

Question 4

There are three important veins which are the:

Answer 4

Deep veins, superficial veins, and perforator

Question 5

these veins connect the superficial veins with the deep veins

Answer 5

Perforator

Question 6

these veins are located behind the knee; Responsible for 90% of venous return
from the lower extremities

Answer 6

Femoral and Popliteal Vein

Question 7

these nodes Can be found 3 cm above the inner medial aspect of the arm and hand

Answer 7

Epitrochlear nodes-

Question 8

Superficial inguinal nodes includes what chain of nodes

Answer 8

(The Horizontal and
vertical chain of nodes)

Question 9

this inguinal node can be found on the anterior thigh just under the inguinal ligament

Answer 9

The Horizontal chain

Question 10

this inguinal node can be found near the
great saphenous vein.

Answer 10

The Vertical chain

Question 11

a vein that Begins at the lateral dorsal aspect of the foot, travels up behind the
lateral malleolus on the back of the leg and joins
the popliteal vein.

Answer 11

small saphenous vein

Question 12

The longest vein
can be found at the foot’s medial dorsal aspect,

Answer 12

great Saphenous vein

Question 13

this part of the body connect arterioles and venules, regulating fluid exchange between blood and tissues.

Answer 13

CAPILLARIES

Question 14

three venous functions that help to propel blood back to the heart.

Answer 14

vein structure, with
one-way valves

muscular
contraction.

pressure gradient created by breathing.

Question 15

During inspiration, this pressure decreases while abdominal pressure increases,

Answer 15

intrathoracic pressure

Question 16

in preparing for peripheral vascular what position should a client be in

Answer 16

Have the client sit upright on the examination
table (For arms)

Have the client lie down the examination table
(For legs)

Question 17

shape of lymph nodes

Answer 17

somewhat circular or oval.

Question 18

what is the measurement of palpating the lymph nodes

Answer 18

1-2 cm in
diameter.

Question 19

Weak or absent
pulse Indicates

Answer 19

arterial
occlusion

Question 20

A cool extremity indicates

Answer 20

arterial
insufficiency

Question 21

what position should a client be in assessing peripheral or ABI

Answer 21

supine position.

Question 22

meaning of ABI

Answer 22

“Ankle-brachial pressure
index

Question 23

is used to detect decreased systolic
pressure

used to compare
upper-and-lower limb systolic BP.

ratio of ankle systolic BP to the
arm (brachial) systolic BP

Answer 23

ABI

Question 24

Normal resting of
ABI is

Answer 24

1.0-1.4.

Question 25

- People who smoke are physically inactive, have a BMI of

Answer 25

>30,

Question 26

Abnormal values for the resting ABI are

Answer 26

0.9 or lower than 1.40 or higher,

Question 27

this measurement of ABI is considered as borderline abnormal.

Answer 27

0.91-1.00,

Question 28

If the client has varicose veins, perform a _____ test to determine the competence of the veins valves.

Answer 28

manual compression

Question 29

If the client has varicose veins, perform what position is conducted to assess the competence of the saphenous veins valves and the retrograde...

Answer 29

Trendelenburg

Question 30

stages of lymphedema

Answer 30

Stage 0 Subclinical Stage Stage 1 Mild Stage Stage 2 Moderate Stage Stage 3 Severe Stage

Question 31

No obvious signs and symptoms. Impaired lymph drainage is subclinical. Lymphedema may be present for months to years before progressing to later stages.

Answer 31

Stage 0 Subclinical Stage

Question 32

Swelling is present. Affected area pits with pressure. Elevation relieves swelling. Skin texture is smooth.

Answer 32

Stage 1 Mild Stage

Question 33

Accumulation of fluid. Skin may look tight, skinny, and tissue may have a spongy feel. Pitting may or may not be present as tissue fibrosis begins to develop. Elevation does not alleviate the swelling. Hair loss or nails changes may be experienced in the affected extremity. This is an irreversible stage.

Answer 33

Stage 2 Moderate Stage

Question 34

Lymphedema has progressed to the lymphostatic elephantiasis stage, at which the lymph is very large. Affected area is non pitting, often with permanent edema. Skin folds develop. Risk of cellulitis, infections,

Answer 34

Stage 3 Severe Stage

Question 35

(supply of blood in the body being interrupted)

Answer 35

Gangrene

Question 36

Dramatic blanching of fingers on both hands

Answer 36

RAYNAUD DISEASE

Question 37

peripheral nervous system has pressure points that cause ulceration through the epidermal and dermal tissue layers

Answer 37

NEUROPAT HIC ULCER

Question 38

the pain is Intermittent claudication to sharp, unrelenting, constant. what insufficiency is this

Answer 38

ARTERIAL INSUFFICIENCY

Question 39

the pain is aching and cramping what insufficiency is this

Answer 39

venous insufficiency

Question 40

the pulses are Present but may be difficult to palpate through edema

Answer 40

VENOUS INSUFFICIENCY

Question 41

pallor foot ; dry and shiny skin; cold temp; loss of hair toes and nails thickened and ridged indicate what

Answer 41

ARTERIAL INSUFFICIENCY

Question 42

Pigmentation in gaiter area - Skin thickened and tough - May be reddish-blue in color - Frequently associated with dermatitis this signs indicate what

Answer 42

VENOUS INSUFFICIENCY

Question 43

the location of the ulcer is at the tip of the toes indicates what

Answer 43

ARTERIAL INSUFFICIENCY

Question 44

the ulcer that is located at Medial malleolus or anterior tibial area indicate what

Answer 44

venous insufficiency

Question 45

a deep ulcer involving joint space indicate what

Answer 45

ARTERIAL INSUFFICIENCY

Question 46

a circular shaped ulcer indicate what

Answer 46

ARTERIAL INSUFFICIENCY

Question 47

the ulcer's base is pale black to dry. what doe sthis indicate

Answer 47

ARTERIAL INSUFFICIENCY

Question 48

a minimal leg edema indicates what

Answer 48

ARTERIAL INSUFFICIENCY

Question 49

Granulation tissue– beefy red to yellow fibrinous indicates what

Answer 49

VENOUS INSUFFICIENCY

Question 50

the ulcer's bed is granulations tissue

Answer 50

VENOUS INSUFFICIENCY

Question 51

Leg edema: Moderate to severe

Answer 51

VENOUS INSUFFICIENCY

Question 52

Marked pallor with legs elevated Return of pink color that takes longer than 10 secs and superficial veins that take longer than 15 secs, Persistent rubor of toes and feet with legs dependent

Answer 52

indicates arterial insufficiency.