Exam (elaborations)
Nr 304 Final Exam With Complete Solutions 100% 2024/2025
- Course
- NR 304
- Institution
- Chamberlain College Nursing
Nr 304 Final Exam With Complete Solutions 100% 2024/2025
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Nr 304 Final Exam With Complete Solutions100% 2024/2025
arteries Answer: active blood flow
veins Answer: passive blood flow - do not have a pulse, returns to the heart via movement through
the skeletal muscles
femoral pulse site Answer: groin
popliteal pulse site Answer: back of knee
radial pulse site Answer: Located at the wrist on the thumb side
dorsalis pedis pulse site Answer: top of foot
posterior tibial pulse site Answer: on medial surface of ankle near ankle bone
ischemia Answer: Lack of blood supply, causes pain
necrosis Answer: long term lack of blood supply, tissue death
axillary lymph nodes Answer: located under the arms in the armpits
cervical lymph nodes Answer: located along the sides of the neck
,Epitrochlear lymph nodes Answer: Epitrochlear lymph nodes- drains from the hand and forearm
inguinal lymph nodes Answer: located in the inguinal (groin) area of the lower abdomen
Children and Lymph Nodes Answer: nodes can be enlarged with no pain/infection
Pregnancy and PV Answer: dependent edema, varicose veins
peripheral artery disease Answer: A form of peripheral vascular disease in which there is partial or
total blockage of an artery, usually one leading to a leg or arm. 50% of cases are African Americans. RF:
smoking, HTN, diabetes
intermittent claudication Answer: when walking, muscle needs more O2 blood, and you have any
kind of occlusion, when walking pain is increased
Pulse Scale Answer: 0: absent
1+: weak
2+: normal
3+: increased, full, bounding
Allen test Answer: determining the patency of the radial and ulnar arteries by compressing one
artery site and observing return of skin color as evidence of patency of the other artery, determine if
radial artery has been damaged, press radial artery then see if ulnar artery perfuses to hand
venous ulcers Answer: bleed, medial malleolus
,arterial (ischemic) ulcers Answer: does not bleed, has a necrotic black crust, lateral malleolus
neuropathic ulcer Answer: destroys nerve endings, burning pain/numbness
Edema Scale Answer: • 1+ Mild pitting, slight indentation, no perceptible swelling of the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
Doppler ultrasound Answer: determine location of pulse
Raynaud's disease Answer: autoimmune, sporadic vasoconstriction then relaxation, happens in
hands/toes usually
Lymphadema Answer: enlarged lymph nodes, hard edema
Varicose veins Answer: abnormally swollen, twisted veins with defective valves; most often seen in
the legs
DVT Answer: inflammatory process, swelling, redness, heat, pain, happens from venastasis, pooling
of blood in calf
-tachycardia, low grade temp
-women on birth control who smoke are at a higher risk, and also those who are dehydrated since blood
is more viscous
-Do not perform homan's sign test (flexing foot back)
, anneurysm Answer: can be born with or develop, serious with abdominal aorta/coronary
arteries/brain
Decreased Arterial Flow Answer: doesn't work well around gravity, blue then pallor
Decreased Venous Flow Answer: brown, using muscles improves
What happens when valves of the veins do not work right Answer: edema/varicose veins
arterial insufficiency Answer: not getting enough arterial blood flow = ischemic pain, usually
happens on one leg, leg appears shiny, hairless, red/blue then pallor, limb gets cool, pain gets better
when resting since the limb doesn't need as much O2 blood flow (intermittent claudication), gravity
works for it when legs are down, causes impotence in males, can affect nails/toes
venous insufficiency Answer: constant, achy, fullness, pain. Pain gets better by moving. When you
stand/sit pain gets worse. Gravity works against when legs are down. Usually happens on both legs, skin
turns red/brown, starts below the knee to the ankle, skin is scaly, can get slits in skin (weeping edema),
there is no cure, no change in skin temp.
pulse Answer: rhythm, rate, symmetry, amplitude/strength
arterial occlusion Answer: -extreme coolness
-pain
-loss of sensation
-hair loss and skin changes
-pallor
-pulselessness
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