PVS Assessment Flashcards

1
Q

What is 6 subjective data you could collect?

A
  1. leg pain or cramps
  2. changes in skin on arms or legs (color & temp)
  3. edema of arms or legs
  4. exercise
  5. smoking history
  6. family history
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2
Q

Varicose veins are common with…

A

diabetes, obesity, hereditary

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3
Q

What increases the risk of PVD?

A

prolonged sitting or standing

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4
Q

What do you inspect and palpate?

A
  1. arms/hands
  2. radial & brachial pulse
  3. legs
  4. lymph nodes
  5. femoral, popliteal, posterior tibial, dorsalis pedis pulses
  6. edema
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5
Q

Where is the epitrochlear lymph node present?

A

elbows, neck/head, axial

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6
Q

What does it mean if the epitrochlear lymph node is palpable?

A

should be less than <1cm, smooth, non-tender, and moveable

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7
Q

What does it mean if the epirochlear lymph node deviates from normal?

A

infection or cancer present

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8
Q

When palpating pulses, what are you noting?

A

HR, rhythm, symmetry

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9
Q

How are pulses graded?

A

0-4+

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10
Q

What is Homan’s sign?

A

patient sits down with leg out straight in front of them. nurse pushes against foot and the patient experiences pain
(positive result meaning blood clot)

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11
Q

What is the grading of pitting edemas?

A

1+ - 4+

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12
Q

What finding is common in infants and children?

A

enlarged lymph nodes because of frequent exposure to infections

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13
Q

What are two common findings in pregnant women?

A

hormonal changes that cause vasodilation
edema

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14
Q

What does it mean when pregnant women experience vasodilation?

A

change in BP
orthostatic hypotension

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15
Q

What are two common findings in an aging adult?

A

arteriosclerosis
weak pulses

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16
Q

What does CMS stand for?

A

circulation, movement, sensation

17
Q

When assessing circulation what do you inspect and palpate?

A

inspect= color
palpate= warmth, pulse

18
Q

What questions do you ask when inspecting movement?

A

Are they able to move with that injury?
Are they able to move their toes?

19
Q

How do you chart when there are deviations to CMS?

A

CMS except…

20
Q

What are 6 interventions with edema?

A
  1. TED hose
  2. SCDs, IPC (inflate/deflate device)
  3. elevation of swelling body part
  4. ROM exercises
  5. ambulation
  6. health promotion
21
Q

What are 4 health promotion ideas?

A
  1. avoid crossing legs
  2. don’t sit for prolonged periods of time
  3. don’t wear clothes that constrict legs or waist
  4. no smoking
22
Q

What two things increase the risk of blood clots?

A

smoking
birth control