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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.
B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.
C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.
D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.
E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.
Correct Answer is D
Explanation
A. Percuss, inspect, auscultate, palpate: This sequence is incorrect because inspection should be performed first to assess the abdomen visually.
B. Auscultate, inspect, palpate, percuss: This sequence is incorrect because auscultation should follow inspection and before palpation and percussion.
C. Palpate, percuss, inspect, auscultate: This sequence is incorrect as palpation and percussion should not come before inspection.
D. Inspect, auscultate, percuss, palpate: This is the correct sequence. Inspection is first, followed by auscultation to listen to bowel sounds, then percussion to assess for fluid or gas, and finally palpation to check for tenderness or masses.
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