The nurse is assessing the peripheral vascular status of an older client. Which finding would be considered normal for this client?
1. Easy to palpate upper extremity arteries.
2. Easy to palpate lower extremity arteries.
3. Reduction in the number of varicosities.
4. Increase in diastolic blood pressure.
Correct Answer: 1
Rationale 1: In some older clients, arteries may be palpated more easily because of the loss of supportive surrounding tissues.
Rationale 2: The most distal pulses of the lower extremities are more difficult to palpate, not easier to palpate, because of decreased arterial perfusion.
Rationale 3: The number of varicosities increases in the older client.
Rationale 4: The systolic blood pressure might increase.
You might also like to view...
Which tip(s) would be useful for an American nurse preparing for an encounter with a female patient from Japan? (Select all that apply.)
a. Anticipate diversity. b. Promote a feeling of acceptance. c. Assess the patient's health beliefs. d. Facilitate communication by using direct eye contact. e. Recognize that all Eastern women adhere to the same cultural norms.
The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to
a. macrosomia c. polyhydramnios b. preterm birth d. maternal age
When teaching a client newly diagnosed with type 1 diabetes, the nurse recognizes the need for further teaching when the client responds:
a. "I don't need to wear gloves when I administer my insulin shots." b. "I need to rotate my insulin injection sites to prevent lipodystrophy." c. "If I inject my insulin in a site I seldom use, it may cause my blood sugar to drop too much." d. "As long as I keep a mental schedule of rotating injection sites, I don't need to keep a written record."
Over the years there have been different foci for care of vulnerable populations. Which of the following are trends related to caring for vulnerable populations? Select all that apply
1. Community-based care and interorganizational partnerships 2. Outreach and case finding 3. Elimination of disparities 4. Culturally and linguistically appropriate care