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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+

Answer and Explanation

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+.

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Correct Answer is C

Explanation

A. Auscultation. – Auscultation (listening to body sounds) is important, but it is not the most frequently used skill in an overall assessment.

B. Percussion. – Percussion (tapping on body surfaces to assess underlying structures) is used selectively, not as frequently as inspection.

C. Inspection. – Inspection (visual examination) is the most frequently used assessment technique. Nurses use it to observe skin color, posture, wounds, and general appearance before using other techniques.

D. Palpation. – Palpation (feeling with hands) is essential but follows inspection in the assessment process.

A. etiology B. focused assessment C. epidemiology D. Diagnostics

Correct Answer is A

Explanation

A. Etiology – Etiology refers to the study of the causes or origins of disease, including risk factors and contributing conditions.

B. Focused assessment – A focused assessment is a nursing evaluation targeted toward a specific complaint or condition, not the study of disease causes.

C. Epidemiology – Epidemiology is the study of disease patterns and spread within populations, rather than individual causes.

D. Diagnostics – Diagnostics refers to tests and procedures used to identify diseases, not the study of their causes.

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Which would be included in an assessment of the peripheral vascular system? (select all that apply)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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