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NUR 242 exam 2 Questions and Correct Answers
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NUR 242 exam 2 Questions and Correct Answers
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NUR 242 exam 2 Questions and CorrectAnswers
The nurse is preparing to perform a peripheral vascular assessment on a patient w/
a 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). have patient stand upright for the physical assessment
b). palpate for skin temperature using the fingertips
c). Ensure that the stethoscope is warmed before using
d). Always compare arms and legs bilaterally
✓ ~~~ d). Always compare arms and legs bilateral
The nurse is performing a peripheral vascular assessment on the lower extremities
of a patient diagnosed w/ diabetes. Which assessment is important for the nurse to
include?
a). Inspect nails for fungal growth
b). Assess patellar reflexes
c). Palpate dorsalis pedis pulse
d). Measure degree of knee flexion
✓ ~~~ c). Palpate dorsalis pedis
, The nurse is performing an assessment on 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 standing position
b). Venous stasis and obstruction
c). Congestive heart failure (CHF)
d). Prolonged presence of a cast on the extremity
✓ ~~~ 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). Aching, cramping pain
d). Cool-to-cold temperature
✓ ~~~ C). Aching, cramping pain
The nurse is caring for a patient who is experiencing physical immobility related to an
acute illness. A priority nursing assessment would be to monitor the patient for which
of the following?
a). Joint contractures
b). Constipation
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