Nursing 246 HESI practice Questions With Complete Solutions

The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.) Diminished hair on legs Bruising on extremities Skin cool to touch Capillary refill less than 3 seconds Darkened skin on extremities correct answer: Diminished hair on legs Skin cool to touch Capillary refill less than 3 seconds Rationale Diminished hair on the legs and skin that is cool to touch are symptoms of decreased arterial blood flow. The other options are not indicators for impaired peripheral circulation. The registered nurse (RN) palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.) Diminished hair on legs. Bruising on extremities. Skin cool to touch. Capillary refill less than 3 seconds. Darkened skin on extremities. correct answer: Skin cool to touch. Capillary refill less than 3 seconds. Rationale Diminished hair on the legs and skin that is cool to touch are expectant signs of decreased arterial blood flow. The registered nurse (RN) is caring for a client who has a closed head injury from a motor vehicle collision. Which finding should the RN assess the client for the risk of diabetes insipidus (DI)? High fever. Low blood pressure. Muscle rigidity.