The nurse is performing a focused assessment of the client's cardiovascular system every 4 hours.Which specific assessment will the nurse include? Select all that apply.
A)Skin color, moisture, and temperature
B)Blood pressure
C)Use of accessory muscles
D)Strength and equality of peripheral pulses
E)Capillary refill of extremities

Question

Quizplus · Accepted Answer

The nurse's focused assessment of the cardiovascular system includes evaluating skin color, moisture, and temperature (A) to check for signs of poor circulation or hypoperfusion, measuring blood pressure (B) to assess the pressure exerted by the blood against the walls of the blood vessels, assessing the strength and equality of peripheral pulses (D) to evaluate the effectiveness of blood flow to the extremities, and checking the capillary refill of extremities (E) to gauge the capillary efficiency and blood circulation. Use of accessory muscles (C) is more relevant to respiratory assessments.

The Nurse Is Performing a Focused Assessment of the Client's