Diabetic patients often have chronic arterial insufficiency. What findings during examination of the older person's legs would indicate chronic arterial insufficiency?
a. Transparent, shiny, hairless skin
b. Varicose veins
c. Localized areas of inflammation and redness
d. Bilateral pedal edema
A
Hairless, transparent, shiny skin is a symptom of decreased peripheral circulation. Varicose veins (response B) are distended veins. Inflammation and redness (response C) are symptoms of infection or deep vein thrombosis. Pedal edema (response D) is a classic symptom of congestive heart failure. In congestive heart failure, the heart is an ineffective pump, and excess fluid moves into dependent interstitial spaces.
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A nurse consults a genetic counselor for a client whose mother has Huntington disease and is considering genetic testing. The client states, "I know I want this test. Why do I need to see a counselor?" How should the nurse respond?
a. "The advanced practice nurse will advise you on whether you should have children or adopt." b. "Genetic testing can be a stressful experience. Counseling can provide support and education throughout the process." c. "There is no cure for this disease. The counselor will determine if there is any benefit to genetic testing." d. "Genetic testing is expensive. The counselor will advocate for you and help you obtain financial support."
The nurse expresses ambivalence about the use of electroconvulsive therapy (ECT). How can this attitude influence client care?
1. This attitude may be communicated to the client and the family, thus hindering the nursing care. 2. The client may be unaware of the nurse's attitude. 3. The nurse's attitude may spread to other staff members. 4. The nurse's ambivalence will have no effect as long as the nurse is professional.
A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic findings would suggest that this patient has chronic urinary retention?
A) Hypertension B) Peripheral edema C) Tachycardia and other dysrhythmias D) Increased blood urea nitrogen (BUN)
What should the nurse researcher plan to include in a research study that is focused on EBP?
a. Interaction with direct care practitioners b. Dissemination of findings via professional journals c. Determining applicability of findings for practice d. Use of randomized controlled trials