A nurse is collecting data from a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?
Shiny appearance to the lower extremities
Swollen and enlarged veins
Diminished hair growth on the lower extremities
Loss of pigmentation over the shin area
The Correct Answer is B
Choice A reason: Shiny skin is associated with peripheral arterial disease due to reduced blood flow causing trophic changes. Peripheral venous disease causes venous stasis, leading to swollen veins and edema, not shiny skin. This finding is incorrect, as it reflects arterial insufficiency rather than venous pathology in the lower extremities.
Choice B reason: Swollen and enlarged veins are hallmark manifestations of peripheral venous disease, resulting from venous stasis and incompetent valves, causing blood pooling and varicosities. This increases venous pressure, leading to visible vein enlargement, making this the primary finding the nurse should recognize in clients with this condition.
Choice C reason: Diminished hair growth is characteristic of peripheral arterial disease, where reduced arterial flow impairs follicle nourishment. Peripheral venous disease causes edema and varicosities, not hair loss. This finding is incorrect, as it reflects arterial, not venous, pathology, making it irrelevant to the client’s condition.
Choice D reason: Loss of pigmentation over the shin suggests arterial insufficiency or chronic venous stasis dermatitis with hyperpigmentation, not depigmentation. Peripheral venous disease typically causes brownish discoloration from hemosiderin. This finding is incorrect, as swollen veins are more specific to venous disease than pigmentation changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Step 1 is to check the concentration: 80 mg is in 0.8 mL
Step 2 is to calculate: (80 ÷ 80) = 1 Result = 1 × 0.8 = 0.8
Final answer = 0.8 mL
Correct Answer is D
Explanation
Choice A reason: An elevated platelet count does not indicate warfarin overdose, which prolongs clotting time by inhibiting vitamin K-dependent factors, not platelet function. Normal or low platelets may cause bleeding, but INR is the key indicator, making this incorrect for assessing overdose.
Choice B reason: Elevated aPTT reflects heparin’s effect, not warfarin, which primarily affects prothrombin time and INR. While bleeding may occur, aPTT is not the primary test for warfarin overdose, making this incorrect, as INR directly monitors warfarin’s anticoagulant effect and overdose risk.
Choice C reason: An elevated lipid panel is unrelated to warfarin overdose, which causes bleeding by inhibiting clotting factors. Lipid levels affect atherosclerosis, not coagulation, making this incorrect, as INR is the specific test to assess warfarin’s therapeutic and overdose effects in bleeding patients.
Choice D reason: An elevated INR level indicates warfarin overdose, as warfarin inhibits vitamin K-dependent clotting factors, prolonging prothrombin time and increasing bleeding risk like bruising and nosebleeds. Monitoring INR is critical, making this the correct test to identify overdose in this patient.
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