Hesi peripheral vascular and lymphatics. Peripheral Vascular and Lymphatics Flashcards 2022-10-13

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Peripheral vascular disease and lymphatic disorders are two important conditions that can have a significant impact on the health and well-being of an individual. Understanding these conditions and their causes, symptoms, and treatment options is essential for healthcare professionals, as well as individuals who may be at risk of developing these conditions.

Peripheral vascular disease (PVD) is a group of disorders that affect the blood vessels outside of the heart and brain. These disorders can range from mild to severe, and can affect any part of the body, but are most commonly found in the legs and feet. The most common cause of PVD is atherosclerosis, which is the build-up of plaque in the arteries. This plaque can narrow the arteries and reduce blood flow, leading to symptoms such as pain, numbness, and weakness in the affected limb.

There are several risk factors for PVD, including high blood pressure, high cholesterol, smoking, and diabetes. It is important for individuals to manage these risk factors to reduce their chances of developing PVD. Treatment options for PVD may include lifestyle changes, such as exercise and a healthy diet, as well as medications to control blood pressure and cholesterol levels. In severe cases, surgery may be necessary to remove plaque from the arteries or to bypass blocked arteries.

Lymphatic disorders, on the other hand, affect the lymphatic system, which is a network of vessels and glands that help to remove excess fluid, waste, and bacteria from the body. The lymphatic system is an important part of the immune system, and helps to protect the body from infections and other diseases. Lymphatic disorders can range from mild to severe, and can affect any part of the body. Some common lymphatic disorders include lymphedema, lymphangitis, and lymphoma.

Lymphedema is a condition in which excess fluid builds up in the tissues, causing swelling in the affected area. It can occur as a result of surgery, radiation therapy, or damage to the lymphatic system. Lymphangitis is an infection of the lymph vessels, which can cause redness, swelling, and pain in the affected area. Lymphoma is a type of cancer that affects the lymphatic system, and can cause symptoms such as swollen lymph nodes, fever, and weight loss.

Treatment for lymphatic disorders will depend on the specific condition and its severity. Lifestyle changes, such as exercise and a healthy diet, can often help to manage mild cases of lymphedema. More severe cases may require medications or surgery to remove excess fluid or to repair damaged lymph vessels. Lymphangitis is typically treated with antibiotics, and lymphoma is typically treated with chemotherapy and/or radiation therapy.

In conclusion, peripheral vascular disease and lymphatic disorders are two important conditions that can have a significant impact on an individual's health and well-being. It is important for healthcare professionals and individuals to understand these conditions and their causes, symptoms, and treatment options in order to effectively manage and treat these conditions.

Peripheral Vascular and Lymphatics Flashcards

hesi peripheral vascular and lymphatics

Document this finding on the physical assessment form. Infection may be common in lymphedema; pooling of protein-rich lymph fluid increases cellulitis. What action should the nurse take? Instruct the client to make a fist several times for about 30 seconds. The RN prepares to complete a history and physical assessment. What additional assessment is most important for the RN to implement? Skin on the affected arm may be more dry than normal. What action should the nurse implement? She visits the community clinic, reporting to the nurse that her feet feel numb that and she has a small sore on the bottom of her right foot.


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HESI Case Study: Peripheral Vascular and Lymphatics Flashcards

hesi peripheral vascular and lymphatics

To validate this subjective report, the nurse assesses for edema in Lourdes' arm, noting that 2+ pitting edema is present. She states she never felt the stone in her shoe. This finding should then be documented in the assessment record. The RN decides to assess for the presence of a bruit. Two nodes are palpable and are easily moveable 19. How many 50 mg tablets will the nurse give daily? Risk for impaired skin integrity. Using the pads of the fingers, the RN moves over the node area in a circular motion.

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HESI peripheral vascular and lymphatics Flashcards

hesi peripheral vascular and lymphatics

What action should the RN take? After completing the focused assessment of Gloria's pedal pulses, the wound on the bottom of her foot and Gloria's subjective report of the numbness, the rN begins to obtain the client's history, focusing on data related to her peripheral vascular system. Assessment by the RN finds that the left radial pulse volume is now 1+ and the right radial pulse volume is 3+ 23. Which instruction is most important for the nurse to give a client who has lymphedema, when teaching about the importance of the lymphatic system? If lymph nodes are palpable, the nurse should assess for tenderness. The RN has already observed that both of Lourdes' feet are cool and pale. Lourdes is given an antiplatelet medication to prevent clot formation, antihyperglycemic to control blood sugar, antihypertensive to prevent blood pressure elevation, and the medication cilostazol Pletal to help dilate the arteries. After applying gel to the transducer and placing the transducer over the middle of the dorsal surface of the foot, the nurse hears a regular swooshing sound.

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HESI Case Study: Peripheral Vascular and lymphatics Flashcards

hesi peripheral vascular and lymphatics

How should the RN summarized the initial report by the client? Which assessment should the nurse perform first? What action should the RN take next? A stage 2 pressure ulcer in a client with diminished sensation and circulation requires intervention and should be immediately reported to the supervisor. If lymph nodes are palpable, the nurse should assess for tenderness. What questions should the RN ask Lourdes to obtain additional supporting data? The wound Lourdes mentioned is located on the plantar surface of her right foot, on the ball of the foot. Lymphedema can make mobility difficult, especially lower extremity lymphedema. It is important to assess the client and refer to physical therapy for exercises and activity restrictions.


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hesi peripheral vascular and lymphatics

What technique should be used? Cyanosis, a bluish color of the tips of the toes or of the nail beds is also an indicator of decreased arterial circulation. The absence of dependent rubor is a normal assessment finding, and should be documented in the physical assessment but requires no further intervention. The nurse administers Cilostazol Pletal tablets 100 mg orally twice daily. If lymph nodes are palpable, the nurse should assess for mobility, size, shape, consistency, and whether the nodes are discrete or matted. Which question that Lourdes ask the nurse, indicate that more teaching needs to be done? To assess for the presence of any undermining tracts, what action should the nurse implement? They respond to foreign and abnormal substances, and communicate responses to other parts of the body.

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hesi peripheral vascular and lymphatics

After assessing the femoral artery, the nurse palpates the inguinal lymph nodes. The RN reviews Lourdes' initial complaint that her feet feel numb. What technique should be used? This finding should then be documented in the assessment record. The nurse next palpates the axillary nodes. How should the nurse summarize this initial report by the client? Cyanosis, a bluish color, of the tips of the toes or nail beds, is also an indicator of decreased arterial circulation. After assessing the femoral artery, the RN palpates the inguinal lymph nodes. If rounding is necessary, round to the whole number.

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hesi peripheral vascular and lymphatics

Lourdes Ramirez is a 48-year-old Hispanic female. In selecting a site to draw the blood sample, the nurse observes that Lourdes' left forearm is swollen. To assess for edema, what action the RN take first? While Gloria is standing, the RN notes the absence of any dependent rubor. The RN begins the assessment at the client's inguinal area, assessing the femoral artery and the inguinal lymph nodes. The client returns to the clinic in 1 week and reports that her arm seems to be more swollen and inflamed. Bilateral cyanosis with diminished sensation and circulation requires intervention and should be immediately reported to the supervisor. What action should the RN implement? The findings should be documented in the assessment record Gloria's capillary refill is less that 2 seconds, within normal limits.

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hesi peripheral vascular and lymphatics

The nurse prepares to complete a history and physical assessment. Empanio ask the RN to call her Lourdes. During her initial clinic visit, Lourdes' radial pulse volumes were recorded as 3+ bilaterally. Enter numeric value only. To Validate this subjective report, the RN assesses for edema in Lourdes' arm, noting that 2+ pitting edema is present. Lourdes asks the nurse about the function of the lymph nodes. To assess for the presence of any undermining tracts, what action should the RN implement? These findings should then be documented in the assessment record.

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hesi peripheral vascular and lymphatics

To palpate the epitrochlear node, the RN palpates the area above and behind the medial condyle of the humerus but is unable to palpate the node. Which is the best answer the nurse can give in response to how the lymphatic system works? The absence of dependent rubor is a normal assessment finding, and should be documented in the physical assessment but requires no further intervention. What additional assessment is most important for the nurse to implement? What action should the RN take next? To assess for the presence of any undermining tracts, what action should the RN implement? Two nodes are palpable and are easily movable. The RN notes that the wound is round and 0. The absence of dep. After applying get to the transducer and placing the transducer over the middle of the dorsal surface of the foot, the RN hears a regular swooshing sound. The nurse uses a Doppler ultrasound stethoscope to confirm the presence of the dorsalis pedis pulses.

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hesi peripheral vascular and lymphatics

The RNS uses a Doppler Ultrasound stethoscope to confirm the presence of the dorsalis pedis pulses. To learn about any history of intermittent claudication, what question should the RN ask? The nurse asks the client to stand and assesses for the presence of varicose veins. The nurse observes that the wound bed is red and the tissue immediately surrounding the wound is inflamed. The nurse reviews Lourdes' initial complaint that her feet feel numb. Although there is no visible swelling, Lourdes' legs are large, so the nurse gently depresses the tissue over the tibia for one second, noting that the tissue bounces back immediately.

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