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HA > CHAPTER 22 peripheral > Flashcards

CHAPTER 22 peripheral Flashcards

1
Q

Can be found/palpated on the lateral aspect of the wrist

A

Radial artery

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2
Q

venous return is impeded
which results in

A

venous stasis.

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3
Q

Each heartbeat creates a surge of blood; this
surge is what we call

A

arterial pulse

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4
Q

There are three important veins which are the:

A

Deep veins, superficial veins, and perforator

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5
Q

these veins connect the superficial veins with the deep veins

A

Perforator

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6
Q

these veins are located behind the knee; Responsible for 90% of venous return
from the lower extremities

A

Femoral and Popliteal Vein

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7
Q

these nodes Can be found 3 cm above the inner medial aspect of the arm and hand

A

Epitrochlear nodes-

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8
Q

Superficial inguinal nodes includes what chain of nodes

A

(The Horizontal and
vertical chain of nodes)

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9
Q

this inguinal node can be found on the anterior thigh just under the inguinal ligament

A

The Horizontal chain

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10
Q

this inguinal node can be found near the
great saphenous vein.

A

The Vertical chain

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11
Q

a vein that Begins at the lateral dorsal aspect of the foot, travels up behind the
lateral malleolus on the back of the leg and joins
the popliteal vein.

A

small saphenous vein

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12
Q

The longest vein
can be found at the foot’s medial dorsal aspect,

A

great Saphenous vein

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13
Q

this part of the body connect arterioles and venules, regulating fluid exchange between blood and tissues.

A

CAPILLARIES

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14
Q

three venous functions that help to propel blood back to the heart.

A

vein structure, with
one-way valves

muscular
contraction.

pressure gradient created by breathing.

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15
Q

During inspiration, this pressure decreases while abdominal pressure increases,

A

intrathoracic pressure

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16
Q

in preparing for peripheral vascular what position should a client be in

A

Have the client sit upright on the examination
table (For arms)

Have the client lie down the examination table
(For legs)

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17
Q

shape of lymph nodes

A

somewhat circular or oval.

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18
Q

what is the measurement of palpating the lymph nodes

A

1-2 cm in
diameter.

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19
Q

Weak or absent
pulse Indicates

A

arterial
occlusion

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20
Q

A cool extremity indicates

A

arterial
insufficiency

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21
Q

what position should a client be in assessing peripheral or ABI

A

supine position.

22
Q

meaning of ABI

A

“Ankle-brachial pressure
index

23
Q

is used to detect decreased systolic
pressure

used to compare
upper-and-lower limb systolic BP.

ratio of ankle systolic BP to the
arm (brachial) systolic BP

A

ABI

24
Q

Normal resting of
ABI is

A

1.0-1.4.

25
Q
  • People who smoke
    are physically
    inactive, have a BMI
    of
A

> 30,

26
Q

Abnormal values for the resting ABI are

A

0.9 or lower than
1.40 or higher,

27
Q

this measurement of ABI is considered as
borderline
abnormal.

A

0.91-1.00,

28
Q

If the client has varicose veins, perform a _____ test to determine the competence of the veins valves.

A

manual compression

29
Q

If the client has varicose veins, perform what position is conducted to assess the competence of the saphenous veins valves and the retrograde…

A

Trendelenburg

30
Q

stages of lymphedema

A

Stage 0
Subclinical Stage

Stage 1
Mild Stage

Stage 2
Moderate Stage

Stage 3
Severe Stage

31
Q

No obvious signs and
symptoms. Impaired
lymph drainage is
subclinical. Lymphedema
may be present for
months to years before
progressing to later
stages.

A

Stage 0
Subclinical Stage

32
Q

Swelling is present.
Affected area pits with
pressure. Elevation
relieves swelling. Skin
texture is smooth.

A

Stage 1
Mild Stage

33
Q

Accumulation of fluid.
Skin may look tight,
skinny, and tissue may
have a spongy feel.
Pitting may or may not be
present as tissue fibrosis
begins to develop.
Elevation does not
alleviate the swelling.

Hair loss or nails
changes may be
experienced in the
affected extremity. This is
an irreversible stage.

A

Stage 2
Moderate Stage

34
Q

Lymphedema has
progressed to the
lymphostatic
elephantiasis stage, at
which the lymph is very
large. Affected area is
non pitting, often with
permanent edema. Skin
folds develop. Risk of
cellulitis, infections,

A

Stage 3
Severe Stage

35
Q

(supply of blood in the body being interrupted)

A

Gangrene

36
Q

Dramatic
blanching of
fingers on
both hands

A

RAYNAUD
DISEASE

37
Q

peripheral nervous
system has pressure
points that cause
ulceration through the
epidermal and dermal
tissue layers

A

NEUROPAT
HIC ULCER

38
Q

the pain is Intermittent claudication to
sharp, unrelenting, constant. what insufficiency is this

A

ARTERIAL
INSUFFICIENCY

39
Q

the pain is aching and cramping what insufficiency is this

A

venous insufficiency

40
Q

the pulses are Present but may be difficult to palpate through
edema

A

VENOUS
INSUFFICIENCY

41
Q

pallor foot ; dry and shiny skin; cold temp; loss of hair toes and nails thickened and ridged indicate what

A

ARTERIAL
INSUFFICIENCY

42
Q

Pigmentation in gaiter area
- Skin thickened and tough
- May be reddish-blue in
color
- Frequently associated with
dermatitis

this signs indicate what

A

VENOUS
INSUFFICIENCY

43
Q

the location of the ulcer is at the tip of the toes indicates what

A

ARTERIAL
INSUFFICIENCY

44
Q

the ulcer that is located at Medial malleolus or anterior tibial area indicate what

A

venous insufficiency

45
Q

a deep ulcer involving joint space indicate what

A

ARTERIAL
INSUFFICIENCY

46
Q

a circular shaped ulcer indicate what

A

ARTERIAL
INSUFFICIENCY

47
Q

the ulcer’s base is pale black to dry. what doe sthis indicate

A

ARTERIAL
INSUFFICIENCY

48
Q

a minimal leg edema indicates what

A

ARTERIAL
INSUFFICIENCY

49
Q

Granulation tissue–
beefy red to yellow fibrinous indicates what

A

VENOUS
INSUFFICIENCY

50
Q

the ulcer’s bed is granulations tissue

A

VENOUS
INSUFFICIENCY

51
Q

Leg edema: Moderate to severe

A

VENOUS
INSUFFICIENCY

52
Q

Marked pallor
with legs
elevated

Return of pink
color that takes
longer than 10
secs and
superficial veins
that take longer
than 15 secs,

Persistent rubor
of toes and feet
with legs
dependent

A

indicates arterial
insufficiency.

HA (36 decks)

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