Question

1. What artery is most used in the arm to check a pulse on an adult? Infant?

2. What is the difference between and artery and a vein?

3. A patient is admitted and has varicose veins, lower extremity ulcerations, and edema. What would be a priority nursing diagnosis? Why?

4. If there is a blunt trauma to the abdomen and possible spleen injury, what nursing action is appropriate? Why?

5. What is the depth in millimeters for 1+ pitting edema? 2+? 3+? 4+?

6. What is hard, non-pitting edema of the extremities called? What causes it?

7. Do you palpate the carotid arteries at the same time? Why?

8. Which abdominal quadrant has the appendix in it?

9. What lines the abdominal wall and covers the organs?

10. In what quadrant is the spleen?

Answer 1

1 - Radial artery is used in adults to check the pulse and brachial artery is used in infants to check the pulse .

2 - Difference between artey and vein

- Artery - carries oxygenated blood and vein carries deoxygeneated blood.

3 - Nursing possible diagnosis would be right ventricular failure because the given signs are clasically seen in right ventricular failure .

4 - If there is blunt abdominal trauma and possible spleen injury nurse first step should be to asses the trauma , proper examination , check airway breathing circulation identify the injury point or trauma point and prepare for the surgery to achieve the hemostat because if not done this then patient could loss blood and can go syncope and there will be more amount of blood loss .

5 - For 1+ - 2 mm , for 2+ - 3 to 4 mm , for 3+ - 5 to 6 mm , for 4+ - 8 mm .

6 - Lipedema - it is usually caused by blockage of lymphatic system , venous insufficiency.

7 - No carotid artery can never be palpate at the same time because palparing both at the same time will stimulate vagous nerve and will compromise the blood flow to the brain .

8 - Right lower quadrant of the abdomen has the appendix in it .

9 - A seruous membrane called peritonium lies in the abdominal wall and protects the abdominopelvic organs .

10 - In left upper quadrant the spleen is located .