The nurse is caring for a 50-year-old patient who complains of tingling in his toes. Which other assessment finding would cause the nurse to suspect arterial insufficiency?

a. Equal warmth in bilateral feet
b. Shiny, hairless legs
c. Thin, brittle toenails
d. Pedal edema


B
To distinguish arterial insufficiency, instruct the patient to dangle the feet. In arterial insuffi-ciency, feet display delayed color return, and if severe peripheral arterial disease is present, the dangling feet soon take on a dusky red color (rubor). The skin may be shiny, taunt, and hairless. Equal warmth indicates equal and sufficient blood flow to the extremities. The nails would be thick rather than thin with arterial insufficiency, and pedal edema is an indication of venous in-sufficiency.

Nursing

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A nurse is teaching a class about drugs. To evaluate the group's understanding, the nurse asks, "What age group would be more at risk for sensitivity to central nervous system drugs?" The class would be correct to answer

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What are the advantages of using systematic reviews to learn about evidence-based practice issues? Select all that apply

1. Any inconsistencies in the material are explored. 2. The review increases the strength of cause and effect relationships. 3. Helps to increase efficiency in time between research and clinical implementation. 4. This review proves this intervention is the best one available. 5. There is a decrease in bias from researcher error.

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