While performing the assessment of the client's peripheral vascular system, the nurse notes that there was a rapid filling of superficial veins during the Trendelenburg test

Question

These findings would be most consistent with which of the following disorders? 1. Valve incompetence
2. Arterial insufficiency
3. Venous insufficiency
4. Phlebitis

Answer 1

1
Rationale 1: This is consistent with valve incompetence that is associated with the development of varicose veins in the lower extremities.
Rationale 2: The Trendelenberg test does not test for arterial insufficiency. The findings during the Trendelenberg test on this client demonstrate some issues with valve incompetence.
Rationale 3: The findings during this client's Trendelenberg test are consistent with valve incompetence, not venous insufficiency. The client with venous insufficiency will exhibit edema and a brownish discoloration in the lower extremities.
Rationale 4: Phlebitis is an inflammation of the vein. The Trendelenberg test is not used to determine if the client has phlebitis. The client with phlebitis will complain of tenderness along the affected area of the vein.