A 75-year-old obese female presents to her primary care provider reporting edema in the lower extremities. Physical exam reveals that she has varicose veins
Upon performing the history, which of the following is a possible cause for the varicose veins?
a. Extreme exercise
b. Long periods of standing
c. Trauma to the deep veins
d. Ischemia
ANS: B
The probable cause of the patient's varicose veins is gradual venous distention caused by the ac-tion of gravity on blood in the legs due to long periods of standing. Varicose veins are most like-ly due to long periods of standing leading to the action of gravity promoting venous distention. Exercise would help prevent this. Trauma can occur, but usually this affects the more superficial veins. Ischemia affects arteries not veins.
You might also like to view...
A schedule must be created for labor and delivery with a set staff mix for every shift. Which type of staffing is best for a nursing unit that experiences peak workload hours?
1. Block staffing 2. Creative scheduling 3. Flexible scheduling 4. Self-staffing
A client accompanied by his daughter is seen at the ambulatory care clinic with complaints consistent with cataracts. The client's daughter voices her concerns about her father's continuing to drive their car
She asks the nurse about the incidence of motor vehicle accidents in the elderly. What information can be accurately provided? A) The risks of seniors over age 80 are similar to those of teen drivers. B) There are few studies available looking at this particular concern. C) The elderly have few wrecks, as they are more cautious drivers. D) The accidents experienced by the elderly are the result of cognitive changes not related to sensory problems.
Assessment of your 55-year-old client reveals financial stressors, midlife crisis, poor physical hygiene, and smoking. Which diagnosis would be appropriate?
1. Ineffective health maintenance 2. Deficient knowledge (smoking) 3. Ineffective therapeutic regimen management 4. Delayed growth and development
The nursing assistant reports the following vital signs for four patients just evaluated. Which patient should the nurse see first?
a. 25 respirations per minute for a toddler b. 38 respirations per minute for a newborn c. 12 respirations per minute for an 8-year-old child d. 14 respirations per minute for an adult pa-tient