Cellulitis of the right lower extremity may present with which assessment finding?
Paresthesia of the right lower extremity
Delayed capillary refill time
Pallor of the right toes
Hot, tender edematous area
The Correct Answer is D
A. Paresthesia (numbness or tingling) is not a typical finding in cellulitis and may suggest nerve involvement or other conditions.
B. Delayed capillary refill time would indicate poor circulation or possible shock but is not a direct sign of cellulitis.
C. Pallor of the right toes could suggest circulatory issues but is not associated with cellulitis.
D. Cellulitis is an infection of the skin and underlying tissues, usually presenting with warmth (hot), tenderness, redness, and swelling (edema) at the site of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Placing the client in a supine position may increase ICP; the nurse should elevate the head of the bed to 30 degrees to reduce pressure.
B. Log rolling to reposition the client helps maintain spinal alignment and prevent further injury without increasing ICP.
C. Coughing and deep breathing should be avoided as they can increase ICP.
D. A warming blanket could cause vasodilation and worsen ICP.
Correct Answer is A
Explanation
A. tPA (tissue plasminogen activator) should be administered within 3 to 4.5 hours of the onset of ischemic stroke symptoms, not 12 hours. Administering it after this window increases the risk of complications such as bleeding.
B. tPA is administered by intraarterial infusion is true, but it refers to a specific technique for certain stroke types.
C. tPA is administered IV is correct for intravenous administration in many cases of ischemic stroke.
D. tPA requires BP monitoring during and 24 hrs after the treatment is accurate as blood pressure control is critical when administering tPA.
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