Question 1

Which of the following best describes lymphadenopathy?

Accepted Answer

Lymphadenopathy occurs when lymph nodes become infected.Lymphoma is a group of cancers that originate in the lymphatic system.Lymphedema is an inherited condition whereby lymphatic vessels are impaired or missing.Lympadenitis is an inflammation of the lymph node(s)related to a bacterial infection of the node tissue.

Question 2

You are examining a patient with lymphedema.You would most likely discover which of the following findings?

Accepted Answer

Swelling in the extremities is a common finding in patients with lymphedema.Fatigue,weight loss,and night sweats are common finding in patients with lymphoma.

Question 3

Raynaud's disease is best defined as which of the following?

Accepted Answer

Raynaud's disease is best defined as a condition caused by abnormal blood vessel spasms in the extremities,especially in response to cold temperatures.

Question 4

You plan to inspect and palpate your patient's epitrochlear lymph nodes.You would ask the patient to assume which of the following positions?

Accepted Answer

To inspect and palpate the patient's epitrochlear lymph nodes,you would ask the patient to assume a sitting position.

Question 5

When examining a patient for pulsus paradoxus,the nurse would do which of the following? Select all that apply.

Accepted Answer

When examining a patient for pulsus paradoxus,the nurse would place the patient in a supine position.Instruct the patient to breathe normally,apply the blood pressure cuff,and inflate the cuff to 20 mm Hg (not 40 mm Hg)above the patient's last systolic blood pressure reading.The nurse would then slowly deflate the cuff until the first systolic sound is heard,observe the patient's respirations because the systolic sound may disappear during normal inspiration,and finally slowly deflate the cuff again and note the point at which all of the systolic sounds are heard regardless of respirations.The cuff is never deflated quickly.

Question 6

When examining a patient,you realize that the patient's lymph nodes are swollen.You hypothesize that the patient has which of the following conditions?

Accepted Answer

You would hypothesize that the patient with swollen lymph nodes has lymphadenopathy.Signs and symptoms of lymphoma include chronic fatigue,weak immune function,weight loss,night sweats.Swelling in the extremities is seen in lyphedema.Patients with lymphadenitis will have redness of the skin,swelling,and/or tenderness over the affected node.

Question 7

You are examining a patient for venous insufficiency.You are most likely to find which of the following? Select all that apply.

Accepted Answer

When examining a patient for venous insufficiency you would find edema,warm skin,and normal nails.

Question 8

Which of the following disorders can occur with arterial insufficiency?

Accepted Answer

Disorders associated with arterial insufficiency include aneurysms,aortic dissections,arterial stasis ulcer,Buerger's disease,carotid artery stenosis,chronic arterial insufficiency,Raynaud's disease,and trauma.Disorders associated with venous insufficiency include DVT,chronic venous insufficiency,thrombophlebitis (venous thrombus),varicose veins,and venous stasis ulcers.

Question 9

Possible causes of pulse paradox include which of the following? Select all that apply.

Accepted Answer

Possible causes of pulse paradox include cardiac tamponade,pericardial effusion,constrictive pericarditis,restrictive cardiomyopathy,severe chronic obstructive lung disease,and superior vena cava obstruction.

Question 10

Possible causes for a hyperkinetic/bounding pulse would include which of the following? Select all that apply.

Accepted Answer

Causes for a hyperkinetic/bounding pulse include fever,anxiety,exercise,septic shock and hyperthyroidism.Hypovolemia,cardiogenic shock,and congestive heart failure are causes of hypokinetic/weak pulse

Question 11

Jugular venous pulsations consist of two or three waves called the "a," "c",and "v" waves.The "a" wave is produced by which of the following?

Accepted Answer

The "a" wave is produced by contraction of the right atrium,and it reflects the backflow of blood into the vena cava as the right atrium ejects blood into the right ventricle.

Question 12

Lymphatics supplement which of the following systems?

Accepted Answer

Lymphatics supplement the cardiovascular system.

Question 13

The visceral layer,a serous layer that lies against the heart,is also called the ____________________.

Accepted Answer

The answer of The visceral layer,a serous layer that lies...

Question 14

A nursing instructor asks a group of students which disorders are related to arterial insufficiency.Which responses by the students would indicate that further teaching is needed? Select all that apply.

Accepted Answer

The instructor would recognize that further teaching is needed if the students responded DVT,varicose veins,or thrombophlebitis.The disorders that are related to arterial insufficiency include trauma,aneurysms,Buerger's disease,Raynaud's disease,aortic dissection,arterial stasis ulcers,carotid artery stenosis,and chronic arterial insufficiency

Question 15

In addition to bone marrow,the other primary organ of the lymphatic system is which of the following?

Accepted Answer

The primary organs are the thymus gland and the bone marrow,which consist of sites where two types of immunoprotective cell lines originate and/or mature: T lymphocytes (or T-cells)and B lymphocytes (or B-cells).The secondary organs are the lymph nodes,spleen,and small masses of lymph tissue disbursed throughout the body (e.g.,Peyer's patches,the appendix,tonsils,and some regions of the body's mucosal surfaces).

Question 16

How much lymph is transported through the lymphatic vessels each day?

Accepted Answer

The transport of lymph through the lymphatic vessels moves in only one direction and is slow when compared to cardiac circulation: 3 liters/day versus 4-5 liters/minute.

Quiz 17: Peripheral Vasculature And Lymphatic System