A client complains of numbness, tingling, and coldness of the left leg. The nurse observes that the skin appears pale and is cool to touch. What assessment should be obtained next?
a. Ask the client when symptoms were noted and during what type of activity.
b. Notify health care provider of the findings immediately.
c. Obtain a detailed nursing health history while conducting the initial comprehensive physical examination.
d. Palpate and record the femoral, popliteal, posterior tibial, and dorsalis pedis pulses.
D
To assess blood perfusion of the peripheral vessels and skin, note changes in skin color, temperature and sensation, changes in the pulses, and feel toes for warmth and color. Compare peripheral pulses bilaterally, and note changes in strength and quality.
You might also like to view...
To reduce the risk of gastrointestinal bleeding in older adult patients, the nurse must be aware of giving anticoagulants with which drug?
a. Tylenol b. Ibuprofen c. Vitamin C d. Vitamin E
A client tells the nurse that the thought of eating makes her anxious and nervous, and she just avoids it altogether. Which is the priority when planning care for this client?
A) Instruction on the role of nutrition in normal menstruation B) Instruction on the importance of nutrition for vital signs and muscle tone C) Interventions to address anxiety and feelings of being in control D) Instruction on appropriate nutritional intake
The nurse is assessing a client. Which data are considered data from a primary source?
a. The client's spouse tells the nurse the client seems upset. b. The client reports right lower quadrant pain. c. The physician describes the client as being overanxious. d. The lab report shows an elevated white cell count.
A patient lives in a rural area and has difficulty obtaining health care. The reason for this is because
a. many hospitals in rural areas have been closed due to economic pressure b. roads are poorly paved c. physician office hours are limited d. mostly young people inhabit rural areas