NR304 Assessment ESE Study Guide 3 
NR304 Assessment ESE Study Guide
Chapter
Page No.
Question
Answer
18
476
Peripheral Vascular
1. PVD assessment: ulcers (arterial vs. venous)
a) Arterial deficient ulcers occur on _____?
b) Venous ulcers occur at ______ because of fragile tissue w/ poor drainage.
2. Assessment of legs
a) Color: If peripheral vessels are constricted the skin will be _____.
b) Color: If the vessels are dilated the skin tone will be _______.
c) Color: An elevated leg that is pale indicates?
d) Color: _______ must be reported to the physician immediately.
e) Color: a _____ discoloration over the tibial surface is associated with ____ disease. The color stems from blood leaking out of a vessel.
f) Texture: thickened skin w/ brown discoloration can result from ______.
g) Texture: varicosities are?
h) Texture: how do you perform the manual compression test for varicose veins?
i) What is a trendelenburg’s test and what is it used for?
j) Hair absence/changes can result from _______.
k) Swelling and shiny skin is caused by?
l) Pitting edema grading?
m) What is a Homans’ sign and what can it be used for?
n) Extreme coolness may indicate?
o) Unequal size in the legs could indicate a _______ in the deep vessels of the leg.
p) s/s of arterial sufficiency
q) s/s of venous insufficiency
1. Leg ulcers can be an indication of chronic arterial or venous problems.
a) Pressure points, such as tips of toes lateral malleoli (outside bony part of ankle).
b) Medial malleoli (inside bony part of ankle)
2.
a) Pale
b) Reddish
c) Arterial insufficiency
d) Blackened/necrotic
e) Rusty; venous
f) venous insufficiency
g) Distended veins/ varicose veins. These bulging veins do not disappear when legs are elevated.
h) Test used to determine length of varicose vein and the competency of its valve. Ask pt to stand, with fingers palpate lower part of the vein. Keeping that hand on the vein, compress the vein firmly at least 15 to 20cm higher with the fingers of the other hand.
Chapter
Page No.
Question
Answer
18
476
Peripheral Vascular
1. PVD assessment: ulcers (arterial vs. venous)
a) Arterial deficient ulcers occur on _____?
b) Venous ulcers occur at ______ because of fragile tissue w/ poor drainage.
2. Assessment of legs
a) Color: If peripheral vessels are constricted the skin will be _____.
b) Color: If the vessels are dilated the skin tone will be _______.
c) Color: An elevated leg that is pale indicates?
d) Color: _______ must be reported to the physician immediately.
e) Color: a _____ discoloration over the tibial surface is associated with ____ disease. The color stems from blood leaking out of a vessel.
f) Texture: thickened skin w/ brown discoloration can result from ______.
g) Texture: varicosities are?
h) Texture: how do you perform the manual compression test for varicose veins?
i) What is a trendelenburg’s test and what is it used for?
j) Hair absence/changes can result from _______.
k) Swelling and shiny skin is caused by?
l) Pitting edema grading?
m) What is a Homans’ sign and what can it be used for?
n) Extreme coolness may indicate?
o) Unequal size in the legs could indicate a _______ in the deep vessels of the leg.
p) s/s of arterial sufficiency
q) s/s of venous insufficiency
1. Leg ulcers can be an indication of chronic arterial or venous problems.
a) Pressure points, such as tips of toes lateral malleoli (outside bony part of ankle).
b) Medial malleoli (inside bony part of ankle)
2.
a) Pale
b) Reddish
c) Arterial insufficiency
d) Blackened/necrotic
e) Rusty; venous
f) venous insufficiency
g) Distended veins/ varicose veins. These bulging veins do not disappear when legs are elevated.
h) Test used to determine length of varicose vein and the competency of its valve. Ask pt to stand, with fingers palpate lower part of the vein. Keeping that hand on the vein, compress the vein firmly at least 15 to 20cm higher with the fingers of the other hand.