Download Chamberlain University NR 304 (Heath Assessment II) Quiz 1 concepts | Comprehensive Questi and more Exams Nursing in PDF only on Docsity!
Chamberlain University NR 304 (Heath Assessment II) Quiz 1 concepts | Comprehensive Questions and Answers Latest Updated 2025/2026 With 100% Verified Solutions Where can you find the radial pulse? - ✔✔- Thumb side of the wrist Where can you find the brachial pulse? - ✔✔anterior side of elbow right where the brachial meets the joint Where can you find the femoral pulse? - ✔✔Groin area of the body Where is the popliteal pulse located? - ✔✔posterior side of knee Where is the posterior tibial pulse? - ✔✔Between medial malleolus and the Achilles tendon inner aspect of the ankle Where is the dorsalis pedis pulse? - ✔✔fingertips between great and first toes and slowly move them along groove between extensor tendons and great and first pulse until pulse is palpable What are some changes that occur in the peripheral vascular system as a result of aging? - ✔✔- peripheral blood vessels grow more rigid
- increased risk for arteriosclerosis
- increased risk for PAD
- intramuscular calf veins progressively enlarge
- Fewer lymph nodes
- decrease in lymph node size of remaining lymphnodes What causes an increased risk of Peripheral arterial disease (PAD) in aging adults? - ✔✔- Arteriosclerosis as a result of blood vessels becoming more rigid
What happens to the intramuscular calf veins as a result of aging? - ✔✔- they progressively enlarge What increases risk of deep vein thrombosis (DVT) and Pulmonary Embolisms (PE)? - ✔✔- Prolonged bed rest
- immobilization
- heart failure What is intermittent claudication? - ✔✔Pain in calf upon walking What changes occur to the lymph nodes as a result of the aging process? - ✔✔- decrease in number of lymph nodes
- decrease in size of remaining lymph nodes What are examples of subjective data when assessing PVS? - ✔✔- leg pain or cramps
- skin changes on arms / legs
- Swelling
- Lymph node enlargement
- medications
- smoking history What is claudication distance? - ✔✔- How far a client can walk or climb stairs before pain begins to be felt What should you note when assessing claudication distance? - ✔✔- Whether or not there is pain present
- where pain is located at while performing assessment
- description of pain
- onset of pain
- variables that impact presentation of pain
- precipitating activity to produce pain
What is lymphedema? - ✔✔- Accumulation of protein-rich fluid in the interstitial spaces of the arm What is lymphedema typically follow? - ✔✔- Breast surgery or treatment What are characteristics of lymphedema? - ✔✔- Hard
- non-pitting edema What are some capillary refill abnormalities? - ✔✔- pallor
- clubbing What does the Modified Allen Test provide? - ✔✔- information about adequacy of collateral circulation What is the capillary refill test a good indicator of? - ✔✔- index of peripheral perfusion
- index of cardiac output What are some manifestations of venous uclers? - ✔✔- Redness
- Brown decolorization in the skin
- warm skin
- Build up of fluid/ waste in tissues
- edema
- wet / drainage
- itching
- inflamed tissue
- irregular borders Where does venous ulcers normally occur? - ✔✔- higher up on the legs When is pain the worst with venous ulcers? - ✔✔- at the end of the day
How venous ulcer symptoms be decreased? - ✔✔- elevation of legs What are some manifestations of arterial ulcers? - ✔✔- Deep / dry
- cramps / muscles pain
- pallor skin
- cool to touch
- weak pulses
- shinny skin
- border irregularities
- decreased blood flow Where does arterial ulcers normally occur? - ✔✔- Feet
- Toes What does elevating a client with arterial ulcers cause? - ✔✔- increase (elevation) in pain How does arterial ulcers impact blood flow? - ✔✔- causes a decrease in blood flow What is the definition of varicose veins? - ✔✔Dilated and tortuous veins that creates valves that do not close properly What does varicose veins cause? - ✔✔- increase in venous pressure What is varicose veins associated with? - ✔✔- obesity
- pregnancies What are some risk factors for deep vein thrombosis (DVT)? - ✔✔- Smoking
or
- intestinal activity has decreased why does hyperactive bowel sounds occur prior to an intestinal obstruction occuring? - ✔✔- intestine is attempting to clear blockage What might you hear with hyperactive bowel sounds during an intestinal obstruction? - ✔✔- high- pitched sounds
- rushing noises What mechanism does the intestines for attempting to clear an intestinal blockage that is associated with hyperactive bowel sounds? - ✔✔- peristalsis What are common causes of constipation? - ✔✔- decreased physical activity
- inadequate intake of water
- low fiber diets
- side effects of medications
- irritable bowel syndrome
- bowel obstructions
- hypothyroidism
- inadequate toilet facilities Why does inadequate toilet facilities cause constipation? - ✔✔- causes difficulty ambulating to toilet What can inadequate toilet facilities cause a person to do? - ✔✔- deliberately retain stools until it becomes harder and more difficult to pass What organs are located in the Right upper quadrant (RUQ) - ✔✔- Right lobe of liver
- Gallbladder
What organs are located in the Left upper quadrant (LUQ) - ✔✔- Stomach
- Spleen
- Small / Large intestines What organs are located in the Right lower quadrant (RLQ) - ✔✔- Ascending colon
- Cecum
- Appendix
- Bladder (if enlarged) What organs are located in the Left lower quadrant (LLQ) - ✔✔- Sigmoid colon
- Part of small intestine
- Part of large intestine What are some assessment findings associated with ascites? - ✔✔- swelling in abdomen
- weight gain
- sense of fullness
- bloating
- sense of heaviness
- nauseas
- indigestion
- vomiting
- swelling in lower legs
- shortness of breath
- hemorrhoids What are some manifestations of intestinal obstruction? - ✔✔- crampy abdominal pain that comes and goes
- loss of appetite
- constipation
What subjective feeling can a client state regarding hernias in the groin? - ✔✔- Feeling of heaviness
- Feeling of pressure
- Feeling of fullness What can cause peripheral arterial disease (PAD)? - ✔✔- atherosclerosis
- Arteriosclerosis
- Embolism
- Arterial dissection What is the pain associated with PAD? - ✔✔- Cramping
- numbness
- tingling
- intermittent claudication What causes the pain to be worse in PAD? - ✔✔- Activity
- Exertion
- Elevation What makes the pain better in PAD? - ✔✔- Rest
- Dangling What are the six P's of PAD? - ✔✔- pain
- pulselessness
- Paresthesia
- poikilothermia
- paralysis
What is a client experience if they have leg feeling full at the end of the day? - ✔✔- Chronic venous disease
