The nurse educator is teaching a group of nursing students how to perform an assessment of the client's peripheral vascular system. Which student statements indicate an appropriate understanding of the peripheral vascular assessment? Select all that apply

1. "I need to take a blood pressure only in the client's right arm."
2. "The best way to assess the carotid pulses is palpate one side and then the other."
3. "It will be easier to assess the client's carotid pulses if the client is obese."
4. "I should inspect the arms to ensure that they are close to the same size."
5. "I should look at the extremities to ensure that hair distribution is normal and symmetrical. The skin should be clean and free of any lesions."


Correct Answer: 2, 4, 5
The best way to palpate the client's carotid pulses is separately, not simultaneously. The student nurse should ensure that both arms are equal in size. The student nurse should thoroughly assess the client's extremities. The student nurse should take the client's blood pressure in both arms and both legs. It will be more difficult to assess the client's carotid pulses if the client is obese or has a short neck.

Nursing

You might also like to view...

The actions of buffer systems allow the body to rapidly and effectively respond to alterations in the H+ concentration of body fluids. How do the kidneys primarily contribute to a stable balance between acids and bases?

A) By regulating the combination of water and carbon dioxide, thus controlling levels of carbonic acid B) By selectively reabsorbing HCO3- ions, which in turn act as H+ ion receptors C) By regulating the ventilation rate and consequent blood levels of CO2 D) By controlling the process of erythropoiesis and consequent hemoglobin levels

Nursing

An elderly client has recently been put on high fall precaution after a new medication initiated. The client's daughter questions the nurse as to why this precaution was put in place. What is the most appropriate response by the nurse?

A) "Your mother was recently started on a new medication to treat her high blood pressure. This medication could cause her to be more prone to falling." B) "Any client your mother's age is automatically put on high fall risk." C) "Your mother has an order to get out of bed. Anyone with this order is put on high fall risk." D) "Your mother was recently started on an intravenous fluid infusion. This is why we placed her on high fall precaution."

Nursing

You are caring for a client who is scheduled for a sympathectomy. In what disease process would a sympathectomy be performed to relieve vasospasm?

A) Thromboangiitis obliterans B) Restrictive cardiomyopathy C) Rheumatic carditis D) Thrombophlebitis

Nursing

Nursing care and community support to patients at a distance is called:

a. Telehealth c. Telecare b. Telenursing d. Home care

Nursing