vSIMS #6 Questions Already Passed!!

The nurse is preparing to perform a peripheral vascular assessment on a patient with an ulcer on the right foot. Which general principle of physical assessment is most important for the nurse to remember in performing a peripheral vascular assessment? a. Ensure that the stethoscope is warmed before using b. Have the patient stand upright for the physical assessment c. Always compare arms and legs bilaterally d. Palpate for skin temperature using the fingertips - c. Always compare arms and legs bilaterally The nurse is performing a peripheral vascular assessment on the lower extremities of a patient diagnosed with diabetes. Which assessment is important for the nurse to include? a. Measure degree of knee flexion b. Assess patellar reflexes c. Palpate dorsalis pedis pulse d. Inspect nails for fungal growth - c. Palpate dorsalis pedis pulse The nurse is performing an assessment of the peripheral vascular system and notes edema in one of the lower extremities. Which are causes of unilateral edema of the lower extremities? a. Prolonged presence of a cast on the extremity b. Venous stasis and obstruction c. Congestive heart failure d. Prolonged standing position - b. Venous stasis and obstruction The nurse is assessing a patient for clinical manifestations of venous insufficiency. Which of the following is a characteristic of venous insufficiency?a. Dry, shiny skin b. Nails thickened and ridged c. Cool-to-cold temperature d. Aching, cramping pain - d. Aching, cramping pain