NUR 346 Chapter 22 Test Questions and Answers All Correct

NUR 346 Chapter 22 Test Questions and Answers All Correct What should a nurse do if a posterior tibial pulse cannot be obtained on a client with edema of the feet? - Answer-Use a Doppler to assess for the presence of the pulse. When assessing a client for possible varicose veins, which of the following would the nurse do? - Answer-Have the client stand for the exam When assessing for varicose veins, the nurse should have the client stand because the varicose veins may not be visible when the client is supine and not as pronounced when the client is sitting. Raising the client's leg would be inappropriate because this would promote venous return and emptying of the veins. Dorsiflexing the foot is used to assess the Homans' sign. The ankle-brachial index is used if the client has symptoms of arterial occlusion. Assessment of a client's lower extremities reveals unilateral edema of the right extremity. Which of the following would be most appropriate for the nurse to do next? - Answer-Compare measurements of both extremities. If the legs appear asymmetric, the nurse should measure each leg and then compare the measurements to confirm the difference. The Allen's test is used to evaluate the patency of the radial or ulnar arteries. Checking for varicosities and palpating the femoral pulses are routine parts of the exam and unrelated to the assessment findings. Which of the following assessment findings is most congruent with chronic arterial insufficiency? - Answer-Cool foot temperature and ulceration on the client's great toe Pigmentation, medial ankle ulceration, and thickened, scarred skin are associated with venous insufficiency, while low temperature and toe ulceration are more commonly found in cases of arterial insufficiency. Walking contracts the calf muscles and forces blood away from the heart. - Answer-False The nurse documents a 2+ radial pulse. What assessment data indicated this result? - Answer-brisk, expected (normal) pulse