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Nr 304 Final Exam With Complete Solutions 100% 2024/2025

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Nr 304 Final Exam With Complete Solutions 100% 2024/2025

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  • September 6, 2024
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  • 2024/2025
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Nr 304 Final Exam With Complete Solutions
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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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