Introduction
Questions
Heart & Neck Vessel Assessment
Peripheral Vascular Assessment
Random
100
What is the very first thing you do upon entering a client's room?
What are introduce self and verify client’s identity.
100
What are some specific diseases you could ask about when gathering family/client history related to the heart and neck vessels?
What is hypertension, CAD, MI, elevated cholesterol, and diabetes.
100
When inspecting the veins on the neck, what specifically are you looking for?
What is Jugular Vein Distension (JVD) and an obvious pulse.
100
When inspecting the arms and legs what are you especially paying attention to?
What is color, size, edema, venous patterning, distribution of hair, lesions/ulcers, and clubbing in the fingers and/or toes.
100
What side of your hands do you use when palpating legs/arm for temperature?
What is the dorsal surface.
200
What special tool(s) are necessary for assessing heart and neck vessels?
What is a stethoscope.
200
Tobacco use, stress, diet and exercise patterns, sleeping habits, and medications are all factors that make up this category.
What is the client’s lifestyle/ health practices.
200
Where are S1 and S2 located at their loudest points?
What is over the apex (S1) and the base (S2).
200
What are all the peripheral pulses that need to be palpated during this assessment?
Temporal, carotid, brachial, radial, femoral, popliteal, post tibial, and dorsalis pedis.
200
What is the allen's test?
What is a test for occlusion of radial or ulnar arteries: the patient makes a tight fist so as to express the blood from the skin of the palm and fingers; the examiner makes digital compression on either the radial or ulnar artery. Failure of blood to return to the palm and fingers when the hand is opened indicates obstruction of the blood flow in the artery that has not been compressed.
300
Before performing an assessment, what should you always do in order to make the client feel more comfortable?
What is explaining the procedure to the client.
300
What are some specific things you should ask about when inquiring a history about a patient's peripheral vascular system?
What is questions about history of blood clots, ulcers, hair loss, numbness, edema &/or poor healing AND coronary artery bypass, repair of aneurysm, and vein stripping.
300
What are the specific locations one auscultates the heart sounds over?
What is aortic, pulmonic, erb’s point, tricuspid, and mitral areas.
300
On what scale do you rate edema?
What is on a +1, +2, +3, and +4 scale.
300
What is the normal time for capillary refill to occur.
What is 1-3 seconds.
400
What are some different types of equipment potentially used with isolation precautions?
What is gloves, facial masks, protective eye gear, and gowns.
400
What are some current symptoms one could be experiencing if they are having problems with their peripheral vascular system?
What is skin changes, leg pain, heaviness/aching, leg veins bulging or contoured, leg sores or open wounds, swelling in legs/feet, and/or swollen glands/nodules.
400
What specific pulse does one palpate on the chest and what are they feeling for?
What is the apical pulse and for location, size, strength and durations of pulsation.
400
When palpating pulses what are you noting about them?
What is amplitude/strength, rating on a scale of 0-3+, and symmetry.
400
What is one difference in palpating the carotid pulses versus any other pulses.
What is they must be done one at a time.
500
In order to ensure proper hygiene what is something you should do upon entering a client's room?
What is washing your hands.
500
What are some current symptoms one could be experiencing if they are having problems with their heart or neck vessels?
What is chest pain, palpitations, dizziness, or edema.
500
What are the 3 positions you auscultate the heart in?
What is sitting position, having the client sitting leaning slightly forward, and the left lateral position.
500
How does one assess for arterial/venous insufficiency?
What is having the client sit up and dangle legs, note color of feet and time interval for color to return.
500
What are some abnormal heart sounds one may hear?
What is clicks, rubs, and murmurs.
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