The nurse suspects that a patient is experiencing the effects of peripheral atherosclerosis. What did the nurse most likely assess in this patient?

1. rubor with extremity elevation
2. normal hair distribution bilaterally over lower extremities
3. peripheral pulses present bilaterally
4. complaints of leg pain upon rest


Correct Answer: 4
Manifestations of peripheral atherosclerosis include intermittent claudication; pain at rest; paresthesias; diminished or absent peripheral pulses; pallor with extremity elevation; rubor with extremities in dependent position; thin, shiny, hairless skin; thickened toenails; and areas of skin discoloration or skin breakdown.

Nursing

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Which statement by a nurse may underrate a patient's feelings and belittle the patient's concerns?

a. "You appear tense." b. "I'm not sure I follow you." c. "Everything will be all right." d. "I notice you are biting your lip."

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You are caring for an older female patient who is being treated for acute anxiety. She has a nursing diagnosis of ineffective coping patterns related to feeling of helplessness. What would be the most appropriate nursing intervention?

A) Provide the patient with realistic choices for her care B) Assess and provide constructive outlets for anger and hostility C) Assess the patient's need for social support D) Encourage an attitude of realistic hope to help deal with helpless feelings

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On what is the selection of an antimicrobial agent based?

a. Sensitivity of the microorganism to the drug b. Half-life of the medication c. Therapeutic levels of the drug d. Bioavailability of the drug

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A patient who has HIV is being treated with Emtriva. The patient develops hepatitis B. The primary care NP should contact the patient's infectious disease specialist to discuss:

a. adding zidovudine. b. changing to Truvada. c. changing to tenofovir. d. ordering Combivir and tenofovir.

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