{"id":113954,"date":"2023-08-20T20:17:37","date_gmt":"2023-08-20T20:17:37","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113954"},"modified":"2023-08-20T20:17:38","modified_gmt":"2023-08-20T20:17:38","slug":"nr304-exam-1-latest-2023-actual-exam-complete-exam-questions-and-correct-detailed-answers-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/20\/nr304-exam-1-latest-2023-actual-exam-complete-exam-questions-and-correct-detailed-answers-verified-answers-already-graded-a\/","title":{"rendered":"NR304 EXAM 1 LATEST 2023 ACTUAL EXAM COMPLETE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+"},"content":{"rendered":"\n

1
Remain alert for generalized edema, plus
hypertension, which suggests preeclampsia,
a dangerous obstretric condition
Expect diffuse bilateral pitting edema in lower extremities,
especially at the end of the day & into 3rd trimester
Nearly 80% of pregnant women have some peripheral edema
because of increased water retention
Varicose veins in legs also common in 3rd trimester
NR304 EXAM 1 LATEST 2023 ACTUAL EXAM
COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+<\/p>\n\n\n\n

    \n
  1. Signs of DVT (clinical manifestations) \u2013 2 questions
    \u25cb Unilateral swelling of the affected leg
    \u25cb Tendernessto severe pain
    \u25cb Possibly warmth & redness (accompanying inflammation)
    \u25cb Possibly superficial venous dilation<\/li>\n\n\n\n
  2. Effects of smoking
    \u25cb Bilateral cool feet
    \u25cb Strongest risk for peripheral vascular disease
    \u25cb Risk for arterial ulcers
    \u25cb Risk for atherosclerosis<\/li>\n\n\n\n
  3. Assessing peripheral blood flow
    \u25cb Modified Allen Test \u2192 \u2192 \u2192
    \u25cb Doppler
    \u25cb Capillary refill<\/li>\n\n\n\n
  4. Peripheral vascular system assessment for different age groups
    \u25cb Infants & Children (normal vs. abnormal findings)
    Transient acrocyanosis & skin mottling at birth
    Pulse force should be normal & symmetric
    Force should be same in upper & lower extremities
    Weak pulses occur with vasoconstriction of
    diminished CO
    Full, bounding pulses occur with patent ductus
    arteriosus from the large left-to-right shunt
    Diminished or absent femoral pulses but normal
    upper-extremity pulses suggest coarctation of aorta
    Palpable lymph nodes occur often (healthy)
    They are small, firm (shotty), mobile, nontender
    May be sequelae of past infections
    Vaccinations can produce local lymphadenopathy
    Note characteristics of palpable nodes
    (local\/generalized)
    Enlarged, warm, tender nodes indicate current
    infection
    Look for source of infection
    \u25cb Pregnanacy (normal vs. abnormal findings)
    \u25cb Older adults (normal findings)
    \u25a0 The dorsalis pedis & posterior tibial pulses may become more difficult to find
    \u25a0 Trophic changes associated with arterial insufficiency<\/li>\n<\/ol>\n\n\n\n

    2
    \u25cf Thin, shiny skin
    \u25cf Thick-ridged nails
    \u25cf Loss of hair on legs<\/p>\n\n\n\n

      \n
    1. Why\/how would you use a Doppler?
      \u25cb Why?
      \u25a0 Doppler flow studies can ensure collateral flow that is quantifiable<\/li>\n<\/ol>\n\n\n\n

      3
      \u25a0 To detect a weak peripheral pulse
      \u25a0 To monitor BP in infants or children
      \u25a0 To measure a low BP or BP in a lower extremity
      \u25cb How?
      \u25a0 Probe magnifies sounds from the heart & blood vessels
      \u25a0 Position the person supine, with legs externally rotated so you can reach medial ankles easily
      \u25a0 Place a drop of coupling gel on the end of the handheld transducer
      \u25a0 Place transducer over a pulse site at about a 90-degree angle
      \u25a0 Apply very light pressure & located the pulse site by the swishing, whooshing sound<\/p>\n\n\n\n

        \n
      1. Signs of PAD
        \u25cb Ankle-Brachial Index (ABI) of 0.90 or less
        \u25a0 0.90 – 0.71 \u2192 mild PAD
        \u25a0 0.70 – 0.41 \u2192 moderate PAD
        \u25a0 0.40 – 0.30 \u2192 severe PAD
        \u25cb Pain Profiles
        \u25a0 Location
        \u25cf Deep muscle pain (usually in calf, but may be lower leg or dorsum of foot)
        \u25a0 Character
        \u25cf Intermittent claudication (feels like <cramp,= <numbness & tingling,= or <feeling of cold=)
        \u25a0 Onset & duration
        \u25cf Chronic pain, onset gradual after exertion
        \u25a0 Aggravating factors
        \u25cf Activity (walking, stairs)
        \u25cb <Claudication distance= \u2192 specific number of blocks, stairs it takes to produce pain
        \u25cf Elevation (rest pain indicates severe involvement)
        \u25a0 Relieving factors
        \u25cf Rest (usually within 2 minutes)
        \u25cf Dangling (severe involvement)
        \u25a0 Associated symptoms
        \u25cf Low ankle-brachial index
        \u25cf Cool, pale skin
        \u25cf Diminished pulses, pallor on elevation
        \u25cb Signs
        \u25a0 Arteriosclerosis (peripheral blood vessels more rigid)
        \u25a0 Atherosclerosis (deposition of fatty plaques on intima of arteries)
        \u25a0 Poor wound healing
        \u25a0 Intermittent claudication (leg cramping when walking)
        \u25a0 Ischemic rest pain
        \u25a0 Coolness
        \u25a0 Weak, <thready= pulse (1+)
        <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        1Remain alert for generalized edema, plushypertension, which suggests preeclampsia,a dangerous obstretric conditionExpect diffuse bilateral pitting edema in lower extremities,especially at the end of the day & into 3rd trimesterNearly 80% of pregnant women have some peripheral edemabecause of increased water retentionVaricose veins in legs also common in 3rd trimesterNR304 EXAM 1 LATEST 2023 ACTUAL EXAMCOMPLETE […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113954","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113954"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113954\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113954"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113954"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}