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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 A

Explanation

A. Prevent distortion of bowel sounds. – Palpation can stimulate peristalsis and alter bowel sounds, leading to inaccurate assessment findings.

B. Prevent distortion of vascular sounds. – While palpation might affect vascular sounds slightly, this is not the primary concern when assessing the abdomen.

C. Determine any areas of tenderness or pain. – While assessing for tenderness is important, auscultation precedes palpation primarily to avoid altering bowel sounds.

D. Allow the patient to relax and be comfortable. – While relaxation is beneficial, the sequence of assessment is based on maintaining accuracy in findings rather than patient comfort.

A. past health history B. environmental history C. psychosocial history D. family history

Correct Answer is C

Explanation

A. Past health history. – Past health history focuses on previous medical conditions, surgeries, and treatments, not current lifestyle habits.

B. Environmental history. – Environmental history pertains to exposure to environmental factors such as occupational hazards or pollutants, not lifestyle habits.

C. Psychosocial history. – Psychosocial history includes information about the patient’s lifestyle, habits (e.g., smoking, alcohol use), social relationships, stress levels, and coping mechanisms.

D. Family history. – Family history focuses on genetic and hereditary diseases present in the patient’s family, not personal habits and lifestyle.

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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

The main reason that auscultation precedes palpation of the abdomen is to:

Correct Answer is A

Explanation

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

Correct Answer is C

Explanation

Short, discrete, interrupted crackling or bubbling adventitious breath sounds heard most commonly on inspiration is termed:

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

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