The nurse is assessing the extremities of a client with Buerger's disease. What clinical manifestation does the nurse correlate with this disease?
a. Reddened, with diminished distal pulses
b. Cold and pale, with proximal bounding pulses
c. Cyanotic, with decreased deep tendon reflexes
d. Brownish discoloration, with pitting edema
A
Clients with Buerger's disease manifest with reddened or cyanotic extremities in the dependent position and diminished distal pulses caused by occlusions in the smaller vessels. Clients also may have ulcerations or gangrene of the digits secondary to impaired circulation. Pulses are diminished, not bounding. Reflex activity is not usually affected by this disorder.
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