When assessing a patient, the nurse notes that the left femoral pulse as diminished, 1+/4+. What should the nurse do next?
a. Document the finding.
b. Auscultate the site for a bruit.
c. Check for calf pain.
d. Check capillary refill in the toes.
Question 2The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?
a. Ask the patient about a history of frostbite.
b. Suspect that the patient has venous insufficiency.
c. Consider this a delayed capillary refill time, and investigate further.
d. Consider this a normal capillary refill time that requires no further assessment.
Question 3During an assessment, the nurse uses the profile sign to detect:
a. Pitting edema.
b. Early clubbing.
c. Symmetry of the fingers.
d. Insufficient capillary refill.
Question 4A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities.
The nurse interprets that this patient is most likely experiencing:
a.
Claudication.
b.
Sore muscles.
c.
Muscle cramps.
d.
Venous insufficiency.
Question 5During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?
a. Hormonal changes causing vasodilation and a resulting drop in blood pressure
b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
d. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities
Question 6A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs when they are elevated that disappears when he dangles them.
He recently noticed a sore on the inner aspect of the right ankle. On the basis of this health history information, the nurse interprets that the patient is most likely experiencing:
a.
Pain related to lymphatic abnormalities.
b.
Problems related to arterial insufficiency.
c.
Problems related to venous insufficiency.
d.
Pain related to musculoskeletal abnormalities.
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