NR 304 Exam 1 Concepts Questions And Answers 2024 Verified Study Solutions
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Course
NR 304
Institution
NR 304
NR 304 Exam 1 Concepts Questions And Answers 2024 Verified Study Solutions
How does once perform a capillary refill assessment?
- Depress and blanch nail beds
- Hold for 5 seconds
- Release depression of nail bed
What is the capillary refill assessment an indicator of?
- peripheral perfusion ...
What are some clinical manifestations of peripheral arterial disease (PAD)?
- Leg pain
- Cramps
- Skin colorization change in arms/ legs
- swelling in arms / legs
- lymph node enlargement
- fatigue
- Claudication
- Night pain
- Coolness to touch
- paralysis
What is poikilothermic?
Coolness to the touch
What does claudication mean?
- pain while walking
What clinical manifestation would be noted if PAD was severe?
- paralysis
What is the pulse associated with arterial insufficiency/ disease (PAD)
What are some relieving factors for arterial insufficiency / disease (PAD)?
- Rest
- Dangling feet
How long does resting take to relieve arterial disease (PAD)?
, - 2 minutes
When should a nurse use the feet dangling method to cause relief for PAD?
- when PAD is severe
What are some relieving factors associated with Venous insufficiency/ disease?
- Elevation
- Lying
- Walking
- pain meds
What does intermittent claudication mean?
- pain impacting the calf muscle
What does claudication distance mean?
- Specific number of blocks / stairs that can be met before pain is observed
What are some signs of worsening claudication?
- Cold feet
- Cramping
- Tingling
- Numbness
What are some subjective data examples of arterial ulcers?
- Deep pain in the calf
- Claudication
- Worsening pain with elevation
Where is the pain located in arterial ulcers normally?
- deep in the calf
What is claudication associated with?
- Peripheral vascular disease
- Arterial ulcers
What impacts does elevation cause on a patient with arterial ulcers?
- increases pain of arterial ulcers
What impacts does elevation cause on a patient with venous ulcers?
- decreases pain of venous ulcers
What are some objective data that is associated to arterial ulcers?
- coolness in only one foot or leg
- pallor
- elevational pallor
- dependent rubor
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