{"id":68,"date":"2019-08-21T17:41:27","date_gmt":"2019-08-21T21:41:27","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/?post_type=chapter&p=68"},"modified":"2020-03-23T14:02:50","modified_gmt":"2020-03-23T18:02:50","slug":"2-8-head-to-toe-assessment-cardiovascular-assessment","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/chapter\/2-8-head-to-toe-assessment-cardiovascular-assessment\/","title":{"raw":"2.8 Head-to-Toe Assessment: Cardiovascular Assessment\u00a0","rendered":"2.8 Head-to-Toe Assessment: Cardiovascular Assessment\u00a0"},"content":{"raw":"

Critical Thinking Exercises: Questions, Answers, and Sources \/ References<\/strong><\/h2>\r\nCritical thinking questions are in bold type, and the answers are italicized. Additional resources or references are provided below.\r\n
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  1. A client has +4 edema to bilateral feet and ankles. Identify two strategies to assist in maintaining skin integrity<\/strong>.<\/li>\r\n<\/ol>\r\nEdematous tissue is at risk for breakdown. Suggest good hygiene, use of lotions, attention to skin integrity on the feet, and\u00a0<\/em>elevate the feet to promote venous return and reduce edema. Consult with an interdisciplinary team to determine other contributing factors (intrinsic and extrinsic) that may need to be addressed.<\/em>\r\n\r\n \r\n\r\nSources:\r\n\r\nRegistered Nurses' Association of Ontario (RNAO). (n.d.). Nursing best practice guidelines: Skin integrity<\/em>.\u00a0https:\/\/bpgmobile.rnao.ca\/content\/risk-and-related-interventions<\/a>\r\n\r\nRegistered Nurses' Association of Ontario (RNAO). (n.d.). Nursing best practice guidelines: Risk assessment tools<\/em>. https:\/\/bpgmobile.rnao.ca\/content\/management-patient-nutritional-risk-and-pressure-ulcer-risk<\/a>\r\n\r\n \r\n\r\n2. A client has just had a femoral popliteal bypass. Which peripheral pulses should be included in the assessment specific to determining arterial perfusion of the affected leg?<\/strong>\r\n\r\nAssessment of pulses distal to a vascular surgery will help to determine patency of vascular grafts. After a femoral popliteal bypass surgery, the dorsalis pedis and posterior tibialis pulses should be assessed.<\/em>\r\n\r\n \r\n\r\nSources:\r\n\r\nBerti-Hearn, L., & Elliott, B. (2018). A closer look at lower extremity peripheral arterial disease. Nursing, 48<\/em>(1), 34-41.\u00a0https:\/\/www.nursingcenter.com\/cearticle?an=00152193-201801000-00009&Journal_ID=54016&Issue_ID=4468826<\/a>\r\n\r\nStanford Health Care. (n.d.). What is femoral popliteal bypass surgery?<\/em>\u00a0https:\/\/stanfordhealthcare.org\/medical-treatments\/f\/femoral-popliteal-bypass.html<\/a>\r\n\r\n \r\n

    Sample Learning Activity<\/strong><\/h2>\r\n
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    1. On the following diagram, identify with an X where the following pulses are located:<\/strong><\/li>\r\n<\/ol>\r\n[caption id=\"attachment_70\" align=\"alignnone\" width=\"300\"]\"\" Figure 2.1 Front view of a male body silhouette[\/caption]\r\n