Question

2. The Doppler ultrasonic stethoscope is used to:

A. Assess lower extremity skin condition

B. Detect a weak pulse

C. Rate the force of a peripheral pulse

D. Assess pitting edema

3. Where will the nurse palpate the posterior tibial pulse?

a. In the groove between the medial maleolus and the Achilles tendon

b. Just lateral to and parallel with the extensor tendon of the big toe

c. In the groove between the external maleolus and the Achilles tendon

d. Just medial to and parallel with the extensor tendon of the big toe

4. What does upper extremity capillary refill time of greater than 1 or 2 seconds indicate?

a. vasoconstriction or decreased cardiac output

b. Systolic Hypertension

c. Decreased force of ulnar pulses

d. elevated body temperature

5. What is the most likely etiology of unilateral upper extremity non pitting brawny edema?

a. Lymphedema

b. arterial ischemic diseas

c. Venous insufficiency

d. Deep vein thrombosis

Answer 1

2.This device is used to detect the blood flow in the blood vessels .It is used to assess the lowest extremity blood flow in the blood vessels and not the skin

It does help to identify a weak pulse.

Peripheral pulse can be rated to diagnose varicocele

Putting edema can be assessed by physical examination

Ans:Rate the force of peripheral pulse.

3.It can be found between the medial malleous and not external maleous and in the Achilles tendon .

Pedal pulse can be palpated at the lateral and parallel lines of big toe

It cannot be found near extender tendon of big toe

Ans:in the groove between the medial malleous and the Achilles tendon

4.It can occur if there is vasoconstriction in the blood vessels or decreased perfusion from heart. Systolic hypertension means the the systolic blood pressure is high

Increased body temperature does not affect capillary circulation .

Radial pulse is to be considered

Ans:Vasoconstriction or decreased cardiac output

5 In lymphactic system problem edema can easily occur here .It is non pitting in nature

DVT, venous insufficiency,arterial ischemic disease can cause pitting edema

Ans:Lymphedema