The nurse who suspects a circulatory disorder in one leg should compare it with the other for the assessment of (select all that apply):
1. color.
2. warmth.
3. muscle strength.
4. pulse quality.
5. hair loss on extremity.
1, 2, 4, 5
Muscle strength is not a circulatory assessment. Color, warmth, pulse quality, and loss of superficial hair are indicators of decreased arterial perfusion.
You might also like to view...
The community health nurse is assessing a population using the "triangle of human disease" model. Which of the following would the nurse address as a population factor?
A) Gender B) Climate C) Housing D) Health beliefs
Which of the following precautions must be put in place for a patient who has been exposed to anthrax by inhalation?
A) Standard B) Airborne C) Droplet D) Contact
The nurse, caring for an 8-pound newborn, calculates the baby will need how many ounces of 20-calorie-per-ounce formula if the requirement is 50 calories per pound per day?
A) the infant's lips appear flared while the baby sucks. B) the tongue should press gently on the tip of the nipple. C) the mother reports a mild pinching during feeding. D) the areola is visible at the edge of the infant's lips.
A patient is admitted to the unit with complaints of abdominal pain and a history of myasthenia gravis. During the health history the nurse determines that the patient has been taking neostigmine (Prostigmin)
The nurse should further assess the patient for a. bradycardia, diaphoresis, and urinary urgency. b. tachycardia, diaphoresis, and urinary retention. c. xerostomia, diaphoresis, and mydriasis. d. increased gastric motility, mydriasis, and urinary retention.