Peripheral Vascular

Question 1

Changes in (3) of skin.

Answer 1

Color, temperature or texture.

Question 2

Women who take oral (transdermal) contraceptives are at a higher risk of thrombophlebitis, edema. T/F?

Answer 2

True

Question 3

The lymph nodes we palpate between the biceps & triceps are the:

Answer 3

Epitrochlear Lymph Nodes

Question 4

Poor venous return may be suggested by (3)

Answer 4

1. Pallor when legs elevated
2. Cyanosis or rubor (bluish red) when legs are dependent
3. Brown or rusty color around ankles.

Question 5

When inspecting legs, the calf muscles should measure equal. T/F?

Answer 5

True

Question 6

Edema may be indicated by the loss of:

Answer 6

Visible Landmarks

Question 7

Edema in 1 leg suggests:

Answer 7

Local peripheral vascular problem

Question 8

Edema in 2 legs suggests:

Answer 8

Systemic problem

Question 9

Calf measurement difference of more than 2cm suggests:

Answer 9

Unilateral Edema

Question 10

Pitting Edema is:

Answer 10

When the skin remains indented, when pressure applied to edema.

Question 11

Pitting Edema is measured by a scale. +1-+4

Answer 11

+1 2mm
+2 4mm
+3 6mm
+4 8mm

Question 12

When palpating temperature in legs, coolness of one suggests:

Answer 12

Vascular Insufficiency

Question 13

Increased temperature of one leg suggests:

Answer 13

Thrombophlebitis (Swelling of vessel caused by clot)

Question 14

T/F in some people Dorsalis Pedis & Posterior Tibial pulses aren’t palpable.

Answer 14

TRUE

Question 15

Homan’s Sign is tested by:

Answer 15

Slightly flexing knee and quickly flexing the foot backward.

Question 16

A positive Homan’s Sign (pain or tenderness on dorsiflexion) indicates:

Answer 16

Thrombophlebitis

Question 17

If peripheral pulses are weak we should assess for:

Answer 17

Arterial Insufficiency

Question 18

To assess for arterial insufficiency we: (3)

Answer 18

1. Have client supine
2. Raise legs 12” above heart level, ask client to wag feet to drain blood.
3. Have client sit up and dangle legs.

Question 19

When we do this legs should:

Answer 19

Remain slightly pink/pale when elevated

Pinkish color returns within 10s when dangled

Question 20

Arterial insufficiency is suggested when: (3)

Answer 20

1. Persistent rubor of toes & feet
2. Marked pallor when elevated
3. Return of color longer than 10s