You are caring for a patient with leg ulcers. You have taken a careful nursing history. What should this nursing history include? (Mark all that apply.)

A) Location of pain
B) History of CAD is documented as a comorbidity
C) Quality of peripheral pulses are assessed
D) Temperature of skin of both legs is compared
E) Limitation of mobility is identified


Ans: C, D, E
Feedback: A careful nursing history and assessment are important. The extent and type of pain are carefully assessed, as are the appearance and temperature of the skin of both legs. The quality of all peripheral pulses is assessed, and the pulses in both legs are compared. The legs are checked for edema. If the extremity is edematous, the degree of edema is determined. Any limitation of mobility and activity that results from vascular insufficiency is identified. The patient's nutritional status is assessed, and a history of diabetes, collagen disease, or varicose veins is obtained. The nurse would have no need to assess the location of the pain if the patient has leg ulcers. A history of CAD is not pertinent as a comorbidity.

Nursing

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____________________ is a series of rapid convulsions.

Fill in the blank(s) with the appropriate word(s).

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