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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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The student nurse explains the diagnostic Angiogram, CT Scan, Duplex Ultrasound, and Magnetic
tests that assist in diagnosing peripheral Resonance Angiography
vascular insufficiencies and blockages in the
lymphatic system to the instructor. Which
diagnostic tests are correctly identified by
the student? Select all that apply
a. Angiogram
b. CT Scan
c. Duplex Ultrasound
d. Abdominal Ultrasound
e. Magnetic Resonance Angiography
The patient is an uncontrolled diabetic with Unable to feel a pulse in an extremity
peripheral vascular disease. The nurse needs Extremity cool to touch
to notify the physician immediately if the Extremity pale and mottled
patient develops which signs of arterial or
venous blockage? Select all that apply.
a. Unable to feel a pulse in an extremity
b. Edema of the extremity
c. Extremity cool to touch
d. Extremity pale and mottled
e. Severe varicose veins in an extremity
When palpating the carotid artery, the nurse Rate, Amplitude, and Rhythm
focuses on which of the following
characteristics of the carotid pulse? Select
all that apply.
a. Rate
b. Amplitude
c. Rhythm
d. Symmetry
, A patient has presetned to the urgent care To assess for sings of increased central venous pressure
center with symptoms of shortness of
breath and bilateral leg edema. He has a
part medical history of congestive heart
failure. What is the purpose of inspecting for
jugular vein distention (JVD)?
a. To assess for accumulation of fluid
seeping into tissues
b. To assess the peripheral circulation for
signs of obstruction
c. To assess for signs of increased central
venous pressure
d. To assess protruding veins resulting from
incompetent valves
Which of the following statements is true Intermittent claudication is pain felt in the lower extremities
concerning the circulatory system? due to decreased blood flow
a. Aneurysms are narrowing or occlusion of
arteries due to atherosclerotic plaques.
b. Intermittent claudication is pain felt in the
lower extremities due to decreased blood
flow
c. Peripheral artery disease is a weakening
of an arterial wall that can develop within
the arterial system
d. Lymphedema is an accumulation of blood
in the tissues caused by trauma to the tissues
A nurse is assessing capillary refill time using More than 2 seconds
the Blanch Test. Which of the following is a
normal capillary refill time?
a. More than 3 seconds
b. Less than 3 seconds
c. Less than 2 seconds
d. More than 4 seconds
The patient has been diagnosed with arterial It appears "punched out" with round, smooth, well-defined
insufficiency of the lower extremities. During borders
inspection, you note that the patient has a 2
cm x 3 cm ulcer on the right ankle area.
Which of the following is a characteristic of
an arterial ulcer?
a. It appears irregularly shaped with uneven
edges
b. The skin is warm when palpated
c. The skin is edematous with fluid drainage
d. It appears "punched out" with round,
smooth, well-defined borders
The client complains of muscle weakness Myalgia
after spending a week in the hospital. What
is this called?
a. Myopathy
b. Myalgia
c. Arthritis
d. Muscular Dystrophy