During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Venous insufficiency ulcers

Arterial insufficiency ulcers

Neuropathic ulcers

Deep vein thrombosis

Answer and Explanation

The Correct Answer is B

A. Venous insufficiency ulcers: Typically present with dark discoloration and edema, but not specifically with changes in color with elevation and dependency.

B. Arterial insufficiency ulcers: Pale feet when elevated and dark red when dependent are classic signs of arterial insufficiency. These changes in color are due to poor blood flow.

C. Neuropathic ulcers: Usually associated with diabetes and often occur on pressure points, not typically related to color changes with elevation.

D. Deep vein thrombosis: While DVT can cause swelling and pain, it does not usually present with color changes that are dependent on the position of the foot.

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Correct Answer is D

Explanation

A. Smoking: Although smoking is a risk factor for cardiovascular diseases and can contribute to thrombosis, it is not the most immediate factor in the context of post-surgical immobility.

B. Hypertension: While hypertension is a significant cardiovascular risk factor, it is less directly related to deep vein thrombosis compared to immobility.

C. Obesity: Obesity can increase the risk of DVT, but immobility, especially after surgery, is a more direct and immediate contributing factor.

D. Immobility: Immobility is a critical factor in the development of deep vein thrombosis, particularly in postoperative clients who may be bedridden or have limited mobility.

A. Dependent edema B. Stasis ulceration C. Arterial occlusion D. Venous insufficiency

Correct Answer is D

Explanation

A. Dependent edema is characterized by swelling in the lower extremities due to gravity and may not always present with pigmentation changes.

B. Stasis ulceration involves ulcerative lesions typically occurring on the lower legs, often associated with venous insufficiency, but the pigmentation alone does not confirm ulceration.

C. Arterial occlusion typically presents with symptoms such as pain, pallor, and decreased pulses, not necessarily with warm skin and brown pigmentation.

D. Venous insufficiency is characterized by symptoms such as warm skin, brown pigmentation around the ankles (due to hemosiderin deposition from blood pooling), and swelling.

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During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

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