The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation. Which finding would be significant to this condition?
1. Ruddy skin color over legs
2. Bounding pedal pulses
3. Hot spots on the feet and legs
4. Decreased hair on the legs
Correct Answer: 4
Rationale 1: The skin color of the legs is more likely to be pale.
Rationale 2: The pulses will be weak.
Rationale 3: The feet and legs will be cool to the touch.
Rationale 4: When peripheral arterial blood flow is reduced, the amount of oxygen to support hair growth is decreased and there is a reduction of hair distribution on the legs.
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While developing an emergency operations plan (EOP) the committee is discussing the components of the EOP. What actions take place during the post-incident response of an emergency operations plan?
A) It is decided when the facility goes from disaster response to daily activities B) Practice drills for the community and facility C) A critique and debriefing for all involved immediately and at later dates D) Replacement of resources in the facility
The nurse is discussing the various food types with a new client. During the discussion, the nurse explains that rice, wheat, and corn are examples of which type?
A) Core foods C) Status foods B) Protective foods D) Comfort foods
A nurse is reviewing the health history and physical assessment findings for a client who is having respiratory problems. Of the following data collected, what data from the health history would be a cue to a nursing diagnosis for this problem?
A) "I often have diarrhea after I eat spicy foods." B) "My skin is so dry I just can't keep from scratching." C) "I get out of breath when I walk a few steps." D) "I just feel so bad about myself these days."
A nurse suspects a client has a chest wall injury and wants to collect more data about thoracic expansion. Which is the appropriate technique to use?
a. Placing the palmar side of each hand against the lateral thorax at the level of the waist, asking the client to take a deep breath, and observing lateral movement of the hands b. Placing both thumbs on either side of the client's T9 to T10 spinal processes, extending fingers laterally, asking the client to take a deep breath, and observing lateral movement of the thumbs c. Placing both thumbs on either side of the client's T7 to T8 spinal processes, extending fingers laterally, asking the client to exhale deeply, and observing lateral inward movement of the thumbs d. Placing the palmar side of each hand on the shoulders of the client, asking the client to sit up straight and take a deep breath, and observing symmetric movement of the shoulders