Exam 18: Peripheral Vascular System

The nursing student is learning about blood pressure assessment and asks the instructor about blood pressure values.Which of the following responses is an accurate response?

The nurse is thoroughly assessing the client for any peripheral vascular problems.The client requested the nurse to state exactly what the nurse was looking for during the assessment.Which of the following statements by the nurse are unexpected?

The student nurse is performing an assessment of the client's peripheral vascular system with the experienced nurse's guidance.Which of the following actions by the student nurse indicate that the student nurse requires further education?

The nurse is assessing a client admitted to the hospital for congestive heart failure and notes 1+ pitting edema of the left arm,as well as bilateral 1+ pitting edema in the client's ankles.The client's history indicates that the client has had a myocardial infarction and a left mastectomy.The nurse would suspect which of the following causes for the edema in the left arm?

The client is visiting the healthcare provider's office with complaints of discoloration of her hands.The client states,"My fingertips turn whitish and then later they get really red." The nurse is not surprised to learn from the healthcare provider that the client has which of the following disorders?

The nurse is preparing to assess the client's dorsalis pedis pulse.Draw an arrow to where this pulse can be palpated on the following figure.

The nurse examines the peripheral vascular system of a client diagnosed with chronic bronchitis 22 years ago.The nurse examines the client's hand.Which of the following statements by the client is consistent with the client's diagnosis?

A client presents with an enlargement of several cervical lymph nodes and asks the nurse about the function of these structures.The nurse would respond with which of the following statements?

While performing the assessment of the client's peripheral vascular system,the nurse notes that there was a rapid filling of superficial veins during the Trendelenburg test.These findings would be most consistent with which of the following disorders?

The nurse is performing a focused interview with a client who was recently diagnosed with varicose veins.Which of the following statements by the client are associated with risk factors for varicose veins?

The nurse is documenting about an ulcer on the lateral aspect of the client's right great toe.The nurse notes that the ulcer is pale with well-defined edges and there is no evidence of bleeding.To help determine information about the origin of the client's ulcer,which of the following pieces of the assessment will be most useful for the nurse?

The nurse is performing a peripheral vascular assessment of a female client who is 7 months pregnant.The nurse notes mild peripheral edema,all other findings were normal.Which of the following actions by the nurse would be appropriate?

The nurse is assessing a client who may have arterial insufficiency in the left lower leg.Which of the following are consistent with this diagnosis?

The student nurse is preparing to perform an assessment of the client's peripheral vascular system.The experienced nurse asks the student nurse questions to ensure the student nurse has prepared adequately.Which of the following statements by the student nurse indicate that further education is required?

The client was recently diagnosed with venous insufficiency.Which of the following statements by the client are consistent with this diagnosis?

The nurse is caring for a client who may have an arterial obstruction in her right ulnar artery.Which of the following tests may be used to help determine the patency of this artery?

While performing a focused interview with a healthy adult client,the nurse notes frequent position changes,wringing of hands,lack of eye contact,incomplete sentences,and rapid speech.The vital signs are BP 160/88,apical pulse 102 beats per minute,respiratory rate 26 per minute.Which of the following are appropriate responses by the nurse?

A female client being examined by the nurse exhibits 2+ pitting edema in the right arm,while the left arm is normal in size.Which of the following responses by the nurses is most important at this time?

The nurse is performing an assessment on a healthy 5 year old and palpates two enlarged lymph nodes on the child's neck.The lymph nodes are soft,mobile,nontender,and each is less than 1 cm in diameter.The nurse would choose which of the following actions in this situation?

The nurse is completing an assessment on a client following a cardiac catheterization procedure.During the initial assessment,the nurse easily palpates the client's right dorsalis pedis and posterior tibial pulses.The pulses on the client's left leg are strong and easily palpable.During the next assessment,the nurse is unable to palpate or find these pulses on the right side with a Doppler.Which of the following would be the most appropriate action for the nurse at this time?