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Exam 21: Peripheral Vascular System and Lymphatic System

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Question 21

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During a routine office visit, a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base, well-defined edges, and no drainage.The nurse should assess for other signs and symptoms of:

A) Varicosities
B) Venous stasis ulcer
C) Arterial ischemic ulcer
D) Deep vein thrombophlebitis

E) None of the above
F) B) and D)

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Question 22

Multiple Choice

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When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard?

A) Low humming sound
B) Regular "lub, dub" pattern
C) Swishing, whooshing sound
D) Steady, even, flowing sound

E) A) and B)
F) All of the above

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Question 23

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During an adult patient assessment, the nurse has elevated the patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood.After helping him sit up and dangle his legs over the side of the table, the nurse should expect that a normal finding at this point would be:

The nurse is preparing to perform a modified Allen test.Which is an appropriate reason for this test?

Which vein(s) is (are) responsible for most of the venous return in the arm?

The nurse is performing a well-child checkup on a 5-year-old boy.He has no current condition that would lead the nurse to suspect an illness.His health history is unremarkable, and he received immunizations 1 week ago.Which of these findings should be considered normal in this patient?

The nurse is attempting to assess the femoral pulses in an obese patient and should:

A patient has been admitted with chronic arterial symptoms.During the assessment, the nurse should expect which findings? (Select all that apply.)

The nurse is preparing to assess the ankle-brachial index (ABI) of a patient.Which statement about the ABI is true?

The nurse is examining the lymphatic system of a healthy 3-year-old child.Which finding should the nurse expect?

When assessing a patient's pulse, the nurse notes that the amplitude is weaker during inspiration and stronger during expiration.When the nurse measures the blood pressure, the reading decreases by 20 mm Hg during inspiration and increases with expiration.This patient is experiencing pulsus ___________.

During an assessment, the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema.The right arm is normal.The patient had a left-sided mastectomy 1 year ago.The nurse suspects which problem?

The nurse is reviewing the blood supply to the arm.The major artery supplying the arm is the ___________ artery.

The nurse is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism.The nurse should expect to find a(n) ___________ pulse.

A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment.This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities.The nurse interprets that this patient is most likely experiencing:

A patient has hard, nonpitting edema of the left lower leg and ankle.The right leg has no edema.On the basis of these findings, the nurse recalls that:

When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node.What should the nurse do next?

The nurse is reviewing venous blood flow patterns.Which of these statements best describes the mechanism(s) by which venous blood returns to the heart?

During assessment of a patient with emphysema, the nurse examines the patient's fingers from the side to detect: