‘Job requlting prolonged standing or sitting. Sedentary lifestyle Decreased mobility such as paralysis or cast Physical Examination Important Areas of Examination ‘Arms. Inspection. Palpation Legs Health Promotion and Counseling, prema EEE Smoking cessation ‘Weight control Exercise program Hypertension control — Hyperlipidemia control — Diabetes managemeni Limiting alcohol intake —__ Foot care ‘Venous disease Avoldance of prolonged sitting and standing ‘Avoidance of constrictive clothing, including girdles and tight hose Execs progam = Weight control Footcare Dehydration prevention ZAMORA, BERNADETH 6. CHECK FOR UNDERSTANDING (10 minutes) The instructor will prepare 10-15 questions that can enhence ctical thinking ekils. Students wil work by themselves to answer these questions and writ the rationale for sach question Multiple Choice. (For 1.10 items, please refer to the questions in the Rationalization Activity) 4. What is the Virchow triad? (Mark all that apply.) a.” Arterial stasis b. Hypercoaguiability ' Vessel wall damege ‘4. High fat content in blood 2. Venous stasis ANSWER: [.C,E RATIONALE: [he Hare, 2. What is a long-term complication of peripheral vascular disease? a. Decreased circulation This document and the information thereon is the property of PHINMA Education (Department of Nursing) 4of74, You are studying the peripheral vasouler system so you would know thet the Inferior vena cava . Superior vena cava Venous intima 4. _Adventitia of the artery ANSWER: - RAMONE Tiedeantin anette pct af the tatdn it the cite late the Yara vente ia ‘5. The nursing instructors discussing the great and small saphenous veins. What would the instructor say connects these two veins? i a. Bridging veins 3 b. Communicating veins € Anastomotic veins 4, Insight ANSWER: _C_ é RATIONALELTac econ set of veling ie the Vipera! venoue Gctena tee Great i Sa phe Yet bn fe” tial 0g p bene: Vesta fence Ver Boker pom tee ante =F He aitle, paste inp thee pet eee mawcl. oomj i Your pelea hash lterencs between fv highest aod lowest ejstli presurs of 12min Hg: Whet dows tigMve id indicate? (Markcal that apply.) at 2 Obstructive ainway disease | Pericardial tamponade e. Possible constrictive pericarditis | d. Peripheral arterial disease \ @. Complex aheroma } c ‘ANSWER: RANGE 43 fearolia bn fompe oe. o elt = cided bese: lure ng tet vemtnewlar lafare tien dear tet i peritandche and Padmanary ? mba = 7. What is function of the lymph system? 1 Produce antbodes 5. Goan te boos c. Drain lymph fluid from the vascular bed ._‘Transportnutons to th issues je ee pia. pauls 4k eas tee SrpemPamant sense ee You ae preparing class presentation on edema, What mechanisms would you cle as producing edema? Low plasma protein levels 2 Capillary leek syndrome Increased capillary blood pressure IS] This document and the information Es thereon Is the property of PHINMA‘8. The nurse le assessing «patient with Raynaud daease. When assessing the writ pulses, whet nurse expect to find? « ‘a! Normal wrist pulses: eases ese @. Bounding ws uses feet erciicce ANSWER: __/ RATIONALE: Raynaud! cyndrom, jr a Acorder where, eh brermnal eee = r ie rarer a 40. While asseasing the legs of your patient you note thatthe lege and feet ere coo! to the touch. What would you know Is most often the cause of bilateral coolness? 3. Inadequate arterial ercuation b. Embolsm ©, Anviety 4. pvr ANSWER: _C. : f RATIONALE: Gilatem/ coolacts i¢ wost %F ten Cauce be a Cold chetioniment ee war RATIONALIZATION ACTIVITY (DURING THE FACE TO FACE INTERACTION WITH THE STUDENTS) . The instructor will now rationalize the answers to the students and will encourage them to ask questions and fo discuss ‘among their classmates. 4. ANSWER: [This document and the information thereon is the property of PHINMA { Eaucation (Department of Nursing) a 6 of7 ss