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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. Jaundice – Jaundice results from elevated bilirubin levels, commonly due to liver disease, hemolysis, or bile duct obstruction. The yellow discoloration is most noticeable in the sclera.

B. Erythema – Erythema refers to redness of the skin, often due to inflammation or increased blood flow.

C. Ecchymosis – Ecchymosis refers to bruising caused by blood leakage under the skin.

D. Fetid – Fetid refers to a foul odor, not a discoloration of tissues.

A. skin assessment B. neurological assessment C. respiratory assessment D. circulatory assessment

Correct Answer is B

Explanation

A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.

B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.

C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.

D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.

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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 A

Explanation

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Correct Answer is B

Explanation

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