During an assessment, the nurse has elevated a patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the side of the table,
the nurse should expect that a normal finding at this point would be:
a.
Significant elevational pallor.
b.
Venous filling within 15 seconds.
c.
No change in the coloration of the skin.
d.
Color returning to the feet within 20 seconds of assuming a sitting position.
ANS: B
In this test, it normally takes 10 seconds or less for the color to return to the feet and 15 seconds for the veins of the feet to fill. Significant elevational pallor, as well as delayed venous filling, occurs with arterial insufficiency.
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A group of nursing students have participated in a class discussion about the health continuum. Which statement by the group indicates that they have understood the information?
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