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Chamberlain College of NursingNR 304NR-304-Study Guide-Exam 1-ARHnumber2

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NR-304 Physical Assessment Study Guide – Exam 1 50 Questions – Multiple Choice, Select All That Apply, HOTSPOT, Multiple Sequences Chapter 18 – Peripheral Vascular Major arteries, veins and ... lymphatics of body – location 1 Pediatric (BP measurements; lymph nodes) 2   Do not take blood pressure measurements until the child is 18 months of age.  There is an increased pulse rate with fever  Lymphatic system o At birth it is well developed o Grows rapidly until 10 to 11 years of age o Lymph nodes are relatively large and often palpable Pregnant (BP changes throughout, varicosities)  Need to monitor blood pressure throughout pregnancy o Vasodiation due to hormone change o There is hyotension during the third trimester o Preeclampsia may result in hypertension  Preeclampsia is when a pregnant woman develops high blood pressure and protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy.  Varicosities in the legs and the rectal area o This is because the uterus obstructs the iliac veins and inferior vena cava  This causes an increase in the venous pressures of the lower legs. Geriatric (Systolic BP & pulse changes; enlargement of calf veins; lymph nodes)  There is an increase in blood pressure, especially the systolic o Arteriosclerosis - peripheral blood vessels more rigid  Decrease in pulse with some irregularities  Progressive enlargement of calf veins o You have an increased risk for deep vein thrombosis (DVT)  Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in your body, usually in your legs. o possible pulmonary embolism (PE) 3  Pulmonary embolism is when one or more pulmonary arteries in your lungs become blocked. In most cases, pulmonary embolism is caused by blood clots that travel to the lungs from the legs o DVT and PE cause prolonged bed rest, immobility, and CHF o Low-dose anticoagulation (ASA 80-160mg) reduces risk  There is a loss of lymph tissue o There are less lymph nodes and a decrease in size of the nodes [Show More]

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