An inspection of the lower extremities is being performed. The presence of arterial insufficiency is suspected when the nurse observes:

A. Increased hair growth
B. Cooler skin temperatures
C. Marked edema
D. Brown pigmentation


B
B. In the presence of arterial insufficiency, the client has signs resulting from an absence of blood flow, such as pain, pallor, and decreased or absent pulses in the lower extremities. The lower extremities become dusky red when the extremities are lowered. They feel cool to touch because blood flow is blocked to the extremity.
A. Decreased hair growth or the absence of hair growth over the legs may indicate arterial insufficiency.
C. Marked edema is seen in venous insufficiency, not arterial insufficiency.
D. Brown pigmentation around the ankles is seen in venous insufficiency. Skin changes in arterial insufficiency include thin, shiny skin, decreased hair growth, and thickened nails.

Nursing

You might also like to view...

What types of neurons transmit impulses from receptors in the internal organs to the central nervous system?

a. Somatic sensory neurons b. Visceral sensory neurons c. Interneurons d. Efferent neurons

Nursing

The nurse is performing a physical exam on a patient diagnosed with liver failure resulting from chronic alcoholism. The nurse notes that the abdomen is swollen and decides to assess for abdominal skin tenderness and temperature

Which of the following techniques would the nurse use to collect this data? a. Inspection b. Percussion c. Palpation d. Auscultation

Nursing

A pregnant client complains to the clinic nurse that her varicose veins are causing more discomfort than before

Which recommendations does the nurse make to the client? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Increase the time she stands. 2. Walk on a daily basis. 3. Not cross her legs at the knees. 4. Wear support hose. 5. Hyperextend her knee with her feet up.

Nursing

In assessing the psychosocial development of an 8-year-old, the nurse would expect a sense of

a. Self-control b. Self-direction c. Competence d. Independence

Nursing