The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

Capillary refill <5 seconds.

Radial pulses 2+ with regular rate and rhythm bilaterally.

Feet pale and cool to the touch.

Right ankle 1+ edema with no perceptible swelling of the leg.

Answer and Explanation

The Correct Answer is B

A.   A capillary refill of less than 5 seconds is considered normal.
B.   Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C.   Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D.   Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

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Correct Answer is C

Explanation

A. Flexion refers to bending a joint, usually decreasing the angle between two body parts.
B. Extension refers to straightening or increasing the angle between two body parts.
C. Abduction involves moving a body part away from the midline or center of the body.
D. Adduction involves moving a body part toward the midline or center of the body.

A. abdominal distention B. visible peristalsis C. hypoactive bowel sounds D. occasional diarrhea E. flatus

Correct Answer is ["A"]

Explanation

A. Abdominal distention can occur due to gas accumulation from undigested lactose.
B. Visible peristalsis is not typically a specific clinical finding associated with lactose intolerance.
C. Hypoactive bowel sounds are not commonly associated with lactose intolerance.
D. Occasional diarrhea is a common symptom due to the inability to digest lactose properly.
E. Flatus or excessive gas production is a common symptom due to the fermentation of undigested lactose by intestinal bacteria.

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The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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