PERIPHERAL VASCULAR ASSESSMENT

Question 1

PREPARING THE CLIENT true or false

1. Have the client wear an examination gown and sit upright on an examination table.

Answer 1

True

Question 2

True or false

2. Make sure the room has a comfortable temperature without drafts.

Answer 2

True

Question 3

True or false

3.Inform the client that it will be necessary to inspect and palpate all four extremities and the groin area.

Answer 3

True

Question 4

True or false
4. Explain that the client can sit for examination of the arms but will need to lie down for examination of the legs and groin.

Answer 4

True

Question 5

True or false

5. Explain in detail what you are doing and answer any questions the client may have.

Answer 5

True

Question 6

are thick-walled structures that carry blood from the heart to the tissues.

Answer 6

Arteries

Question 7

True or false

The blood vessels in both systems channel the blood from the heart to the tissues and back to the heart.

Answer 7

True

Question 8

True or false
Changes in size are influenced by
contractile changes in the blood
vessels.

Answer 8

True

Question 9

HEALTH HISTORY
ASK ABOUT CLIENT’S HEALTH HISTORY
True or false
Has the client had previous problems with varicose veins, diabetes, hypertension, pain in the extremities, injury to an extremity (describe), or edema of the hands or feet?

Answer 9

True

Question 10

HEALTH HISTORY
ASK ABOUT CLIENT’S HEALTH HISTORY
True or false

Are there problems with lymph node swelling or tenderness, claudication (pain in legs with walking relieved by resting), numbness or coldness of an extremity, discoloration or ulceration on extremities (especially feet and ankles), hair loss over an extremity; nail changes?

Answer 10

True

Question 11

HEALTH HISTORY
ASK ABOUT CLIENT’S HEALTH HISTORY
True or false

Has the client ever had any vascular tests, such as Doppler studies (results)?

Answer 11

True

Question 12

HEALTH HISTORY
ASK ABOUT CLIENT’S HEALTH HISTORY
True or false

Question 13

Ask what type of hose the client wears (e.g., support hose). Does the client use garters or other means of securing the hose?

Answer 13

True

Question 14

HEALTH HISTORY
ASK ABOUT CLIENT’S HEALTH HISTORY
True or false

Does the client spend prolonged periods of time standing?

Answer 14

True

Question 15

BUERGER’S TEST (Arterial insufficiency test)

Normal findings
Feet pink to slightly pale in color in the light skinned client with elevation, 10-15 seconds or less for the filling time

Answer 15

Abnormal findings

Marked pallor. >10-15 seconds

Question 16

HOMAN’S SIGN (thrombophle bitis test)

Nirmal finding
No pain and tenderness
(-) Homan’s sign

Answer 16

Abnormal finding

Calf pain or tenderness (+) Homan’s sign

Question 17

INSPECTION
LEG SIZE

NORMAL

Bilaterally symmetric with minimal variations in size and shape.

Answer 17

Abnormal Findings

Lymphedema

Question 18

Inspection
PATTERN VARICOSITIE S/ THROMBOP HLEBITIS ULCERS / LESIONS

Abnormal findings
  Arterial insufficiency (smooth, even margins that occur at pressure areas) Venous insufficiency (irregular edges, bleeding and possible bacterial infection that occur in the medial ankle) Bilateral / Unilateral Edema

Answer 18

Normal Finding

No edema or prominent venous patterning
No ulcers / lesions

Question 19

Inspectuon
COLOR

Normal finding
Depending on the skin tone

Answer 19

Abnormal finding

Pallor (Arterial insufficiency) Cyanosis / Brownish pigmentation (Venous Insufficiency)