Exam 20: Peripheral Vascular System and Lymphatic System

A patient has hard,nonpitting edema of the left lower leg and ankle.The right leg has no edema.Based on these findings,the nurse recalls that:

Which statement is true regarding the arterial system?

A patient complains of leg pain that wakes him at night.He states that he "has been having problems" with his legs.He has pain in his legs when they are elevated that disappears when he dangles them.He recently noticed "a sore" on the inner aspect of the right ankle.On the basis of this health history information,the nurse interprets that the patient is most likely experiencing:

When assessing a patient's pulse,the nurse notes that the amplitude is weaker during inspiration and stronger during expiration.When the nurse measures the blood pressure,the reading decreases 20 mm Hg during inspiration and increases with expiration.This patient is experiencing pulsus:

The nurse is teaching a review class on the lymphatic system.A participant shows correct understanding of the material with which statement?

The nurse is describing a weak,thready pulse on the documentation flow sheet.Which statement is correct?

During a routine office visit,a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection,the nurse notes a 3-cm round ulcer on the left great toe,with a pale ischemic base,well-defined edges,and no drainage.The nurse should assess for other signs and symptoms of:

How should the nurse document mild,slight pitting edema the ankles of a pregnant patient?

The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the documentation states that the radial pulses are "2+." The nurse recognizes that this reading indicates what type of pulse?

During a visit to the clinic,a woman in her seventh month of pregnancy complains that her legs feel "heavy in the calf" and that she often has foot cramps at night.The nurse notices that the patient has dilated,tortuous veins apparent in her lower legs.Which condition is reflected by these findings?

During an assessment of an older adult,the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

During an assessment,the nurse has elevated a patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood.After helping him sit up and dangle his legs over the side of the table,the nurse should expect that a normal finding at this point would be:

The nurse is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism.The nurse should expect to find a(n)_______ pulse.

The nurse is performing a well-child checkup on a 5-year-old boy.He has no current condition that would lead the nurse to suspect an illness.His health history is unremarkable,and he received immunizations 1 week ago.Which of these findings should be considered normal in this patient?

The nurse is attempting to assess the femoral pulse in a patient who is obese.Which of these actions would be most appropriate?

A patient has been admitted with chronic arterial symptoms.During the assessment,the nurse should expect which findings? Select all that apply.

The nurse is performing an assessment on an adult.The adult's vital signs are normal,and capillary refill time is 5 seconds.What should the nurse do next?

A 70-year-old patient is scheduled for open-heart surgery.The surgeon plans to use the great saphenous vein for the coronary bypass grafts.The patient asks,"What happens to my circulation when this vein is removed?" The nurse should reply:

The nurse is preparing to perform a modified Allen test.Which is an appropriate reason for this test?