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CVS/PVS/Skin Exam
Nursing 315
Question | Answer |
---|---|
Step 1: Inspect Anterior Chest | Apical pulsations, heaves, bulges. |
Step 2: Palpate Anterior Chest | Apical pulsation, thrills, lifts heaves, bulges. |
Step 3: Auscultate Apical Pulse | Rate, rhythm. |
Step 4: Auscultate Heart Sounds with Bell and Diaphragm | Clarity, extra sounds. Most defined S1 and S2. |
Step 5: Inspect and Palpate Skin of Upper Extremities | Symmetry, edema, skin integrity, color temperature. |
Step 6: Inspect Fingernails | Hygiene, texture, strength, intactness of cuticles, color of nail beds, nail base angle, and capillary refill. |
Step 7: Palpate Upper Extremity Pulses | Carotid, brachial, and radial. Strength, rhythm, equality bilaterally. |
Step 8: Inspect and Palpate Skin of Lower Extremities | Symmetry, edema, skin integrity, color temperature. |
Step 9: Inspect Toenails | Hygiene, texture, strength, intactness of cuticles, color of nail beds, nail base angle, and capillary refill. |
Step 10: Palpate Lower Extremity Pulses | Femoral, popliteal, posterior tibial, and dorsalis pedis. Strength rhythm, equality bilaterally. |
Step 11: Inspect Skin for Lesions | Suspiciousness. Typre,symmetry, border, color, diameter, elevation. |
Steps: | 1:Inspect Anterior Chest, 2:Palpate Anterior Chest, 3:Auscultate Apical Pulse, 4:Auscultate Heart Sounds, 5: Inspect Skin of UEs, 6:Fingernails, 7:Palpate UE Pulses, 8:Inspect Skin of LE, 9:Inspect Toenails, 10:Palpate LE Pulses, 11:Lesions |