*NURSING > EXAM REVIEW > NR 304 EXAM 1 Review-complete -2022 (All)

NR 304 EXAM 1 Review-complete -2022

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Chapter 20 PVS and Lymphatic System 1. Describe and demonstrate the correct techniques used to assess the peripheral artery. o During a complete physical examination, examine arms at very beginning ... when you are checking vital signs and person is sitting o Examine legs directly after abdominal examination while person is still supine; then stand person up to evaluate leg veins o Examination of arms and legs includes peripheral vascular characteristics o Room temperature should be about 22°C and free of drafts to prevent vasodilation or vasoconstriction o Use inspection and palpation o Compare your findings with opposite extremity 2. Discuss the expected findings related to the peripheral vascular assessment for the aging adult. o DP and PT pulses may become more difficult to find o Trophic changes associated with arterial insufficiency may be seen ▪ Thin, shiny skin ▪ Thick, ridged nails ▪ Loss of hair on lower legs o Peripheral blood vessels grow more rigid with age, resulting in a condition called arteriosclerosis o Care for myocardial infarction (MI) now includes early mobilization and low- dose anticoagulant medication, which reduce risk of pulmonary embolism o Loss of lymphatic tissue leads to fewer numbers of lymph nodes in older people and to decrease in size of remaining nodes 3. Identify subjective data to be collected during the peripheral vascular assessment and provide a sample question for each category. CONTINUED........ [Show More]

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