Which would be included in an assessment of the peripheral vascular system? (select all that apply)
peripheral pulses that can be assessed include brachial radial, ulnar femoral, popliteal, dorsalis pedis and posterior tibia
assess the radial pulse rate by counting the pulsations for 60 seconds
On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds
the strength of the pulse can be measured using the following scale: 0, 1+, 2+ and 3+
Correct Answer : A
A. Peripheral pulses that can be assessed include brachial, radial, ulnar, femoral, popliteal, dorsalis pedis, and posterior tibial. – These are key arterial pulse points used to assess circulation and vascular health.
B. Assess the radial pulse rate by counting the pulsations for 60 seconds. – Counting for a full minute provides the most accurate heart rate measurement, especially if irregularities are present.
C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds. – Normal capillary refill time (CRT) is ≤2 seconds. A refill time >2 seconds suggests poor perfusion.
D. The strength of the pulse can be measured using the following scale: 0, 1+, 2+, and 3+. –. The standard pulse grading scale ranges from 0 to 4+.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A. Peripheral pulses that can be assessed include brachial, radial, ulnar, femoral, popliteal, dorsalis pedis, and posterior tibial. – These are key arterial pulse points used to assess circulation and vascular health.
B. Assess the radial pulse rate by counting the pulsations for 60 seconds. – Counting for a full minute provides the most accurate heart rate measurement, especially if irregularities are present.
C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds. – Normal capillary refill time (CRT) is ≤2 seconds. A refill time >2 seconds suggests poor perfusion.
D. The strength of the pulse can be measured using the following scale: 0, 1+, 2+, and 3+. –. The standard pulse grading scale ranges from 0 to 4+.
Correct Answer is B
Explanation
A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.
B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.
C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.
D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.
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