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 D

Explanation

A. Salpingitis refers to inflammation of the fallopian tubes and doesn’t relate to cessation of menses.
B. Adnexa refers to the accessory structures of the uterus, such as the ovaries and fallopian tubes, but doesn’t describe the cessation of menses.
C. Menarche refers to the onset of menstruation, which is the opposite of cessation of menses.
D. Menopause is the natural cessation of menstruation that occurs typically around the age of 45-55 years in women.

A. African Americans B. Asian men C. Postmenopausal Caucasian women D. American Indians

Correct Answer is C

Explanation

A. African Americans typically have a higher bone density compared to Caucasians and tend to have a lower risk of osteoporosis.
B. Asian men also have a lower risk due to generally higher bone density than Caucasians.
C. Postmenopausal Caucasian women have a higher risk due to hormonal changes after menopause, leading to decreased bone density.
D. American Indians can have varying risks but are not typically considered a population with the highest risk for osteoporosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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