SOLUTIONS
When auscultating over a patient's femoral arteries the nurse
notices the presence of a bruit on the left side. The nurse knows
that:
Occur with turbulent blood flow, indicating partial occlusion.
During an assessment of an older adult, the nurse should expect
to notice which finding as a normal physiologic change
associated with the aging process?
Peripheral blood vessels growing more rigid with age, producing
a rise in systolic blood pressure
During an assessment, the nurse uses the "profile sign" to detect:
Early clubbing.
Mr. Kimbel is a 59-year-old patient who comes to the clinic for
a routine health assessment at the request of his son. On
examination, you note a positive profile sign. This indicates:
early clubbing.
The nurse is performing an assessment on an adult. The adult's
vital signs are normal and capillary refill time is 5 seconds.
What should the nurse do next?
Consider this a delayed capillary refill time, and investigate
further.
,When performing a peripheral vascular assessment on a patient,
the nurse is unable to palpate the ulnar pulses. The patient's skin
is warm and capillary refill time is normal. The nurse should
next:
Consider this finding as normal, and proceed with the peripheral
vascular evaluation.
During an assessment, the nurse notices that a patient's left arm
is swollen from the shoulder down to the fingers, with
nonpitting brawny edema. The right arm is normal. The patient
had a left-sided mastectomy 1 year ago. The nurse suspects
which problem?
Lymphedema
When providing his health history, Mr. Meier sates that his
mother had lymphedema and then says, "Just what is that?"
Your best reply would be that lymphedema is:
the swelling of an extremity due to an obstructed lymph channel.
, During an assessment, a patient tells the nurse that her fingers
often change color when she goes out in cold weather. She
describes these episodes as her fingers first turning white, then
blue, then red with a burning, throbbing pain. The nurse suspects
that she is experiencing:
Raynaud disease.
During a clinic visit, a woman in her seventh month of
pregnancy complains that her legs feel "heavy in the calf" and
that she often has foot cramps at night. The nurse notices that
the patient has dilated, tortuous veins in her lower legs. Which
condition is reflected by these findings?
Varicose veins
A 65-year-old patient is experiencing pain in his left calf when
he exercises that disappears after resting for a few minutes. The
nurse recognizes that this description is most consistent with
_________ the left leg.
Ischemia caused by a partial blockage of an artery supplying