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Exam (elaborations)

Nur 265 - PVD questions fully solved & updated .

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  • NUR 265
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  • NUR 265

PAD v.s PVD PAD • Decreased peripheral pulses • Reproducible leg pain when walking that is relieved with rest • Paresthesia • Loss of Hair • Skin is cool or cold to touch • Skin color is pale, dusky, mottled • Dependent rubor • Thickened toenails • Pain in distal portion...

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  • September 15, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 265
  • NUR 265
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BRAINBOOSTERS
Nur 265 - PVD questions fully
solved & updated 2024-2025.

PAD v.s PVD - answer PAD
• Decreased peripheral pulses
• Reproducible leg pain when walking that is relieved with rest
• Paresthesia
• Loss of Hair
• Skin is cool or cold to touch
• Skin color is pale, dusky, mottled
• Dependent rubor
• Thickened toenails
• Pain in distal portion of extremity
• Pain when extremity is elevated
- relieved by dependent position


PAD v.s. PVD - answer PVD
• Neurologic assessment intact in legs
• Edema around ankles
• Brown pigmentation of the legs
• Aching pain
• Discomfort relieved with elevation


Peripheral Vascular Disease - answer Disorders that alter/obstruct
the natural flow of blood through the arteries, veins and lymphatic's
of the peripheral circulation
• Normally refers to only those diseases that affect the arteries.
These include:

,- Atherosclerosis
- Aortic Aneurysm
- Buerger's Disease
- Raynaud's Syndrome
- Lupus


Cultural Awareness - answer Because severe cyanosis isn't evident
in the skin of dark skin people, to detect cyanosis assess their skin
and nail beds for dull lifeless color.
• The soles of the feet and toenails are less pigmented and allow
detection of cyanosis or duskiness in the lower extremity


Atherosclerosis - answer • Definition: a form of arteriosclerosis that
involves the formation of plaque within the arterial wall, which
leads to eventual interference with blood flow through artery.
leading factor for cardiovascular disease
• Arteriosclerosis: thickening and hardening of the arterial wall
resulting in a loss of elasticity.
• Hypertension is primary risk factor
• affects larger arteries - coronary artery beds, aorta, carotid and
vertebral arteries, renal., iliac, femoral arteries or any combo of
those


Atherosclerosis Causes of Endothelial Injury - answer • Smoking,
HTN
• Diabetes/Insulin resistance(microvascular damage)
• Hyperhomoecysteine (high values indicate higher risk for stroke &
MI)
• Increased C-Reactive Protein (indicates inflammation)
• Dyslipidemia
• Autoimmune process
• Vessel sheer wall strength

, • Increased fibrinogen
• Endotoxemia
• Peridontal disease
• natural process of aging


Arterial Blood Flow Causes of Decreased Arterial Blood Flow -
answer • Atherosclerotic Plaque
• Arterial Spasm
• Embolus or Thrombus
• Changes in Blood Pressure
• Increased Blood Viscosity


Venous Thromboembolism - answer • Thrombus - a blood clot
• Thrombophlebitis - inflammation of a vein associated with a clot
formation
• DVT
• PE
• Virchow's Triad - Three factors leading to formation of a clot:
- pooling of blood, vessel trauma and hypercoagulation
• Phlebitis - treat with warm, moist pack
• Atrial Fibrillation - most common cause of acute arterial occlusion
related to an emboli
• Emboli: most common cause of sudden ischemia


PVD Risk Factors - answer • Low HDL-C
• High LDL-C
• Nicotine or Caffiene Use: they are vasoconstrictors
• Hypertension
• Hyperlipidemia

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