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+
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+.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.
B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.
C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.
D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.
Correct Answer is B
Explanation
A. Functional disease – A functional disease refers to a condition where symptoms occur without an identifiable structural or biochemical cause, such as irritable bowel syndrome (IBS).
B. Chronic disease – Diabetes mellitus is a lifelong condition requiring ongoing management through diet, medication, and lifestyle modifications.
C. Acute disease – Acute diseases have a sudden onset and short duration, such as influenza or appendicitis, unlike diabetes, which persists over time.
D. Contagious disease – Diabetes is not caused by infectious agents and cannot be transmitted from person to person.
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