After inspecting a patient's left lower leg, the nurse leaves the patient's room and asks the charge nurse to notify the patient's healthcare provider regarding a possible arterial thrombosis. What did the nurse assess to make this decision?
Select all that apply.
1. absent pedal pulses
2. skin cold to the touch
3. +4 edema on the ankle
4. foot unresponsive to sensation
5. line of demarcation across the foot
Correct Answer: 1, 2, 4, 5
Manifestations of arterial thrombosis include absent distal pulses, tissue that is cool or cold to the touch, paralysis of the affected extremity, and a line of demarcation between normal and ischemic tissue. Edema is not a manifestation of arterial thrombosis.
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