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A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

Select all that apply.

low fat diet

diabetes mellitus

decreased lipid levels

smoking

heavy alcohol use

physical activity

hypertension

male

Obesity

Answer and Explanation

Correct Answer : B,D,E,H,I

A. Low-fat diet: This reduces the risk of arterial insufficiency, making it incorrect as a risk factor.

B. Diabetes mellitus: Diabetes is a significant risk factor due to its effects on vascular health.

C. Decreased lipid levels: Lower lipid levels reduce arterial risk, making it incorrect as a risk factor.

D. Smoking: Smoking damages blood vessels and increases arterial insufficiency risk.

E. Heavy alcohol use: Excessive alcohol consumption contributes to hypertension and cardiovascular disease.

F. Physical activity: Physical activity reduces arterial risk, making it incorrect as a risk factor.

G. Hypertension: High blood pressure increases arterial insufficiency risk.

H. Male: Males have a higher risk of developing arterial insufficiency than females.

I. Obesity: Obesity increases the risk of atherosclerosis and arterial insufficiency.

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Correct Answer is B

Explanation

A. Capillary refill time greater than 2 seconds is abnormal and requires further assessment.

B. A capillary refill time of 5 seconds indicates delayed peripheral perfusion and warrants further investigation.

C. While frostbite can cause delayed refill, it is less likely than vascular insufficiency in this scenario.

D. Delayed capillary refill is more often associated with arterial, not venous, insufficiency.

A. Test for the Murphy sign B. Test for shifting dullness C. Perform the obturator test D. Test for the Blumberg sign E. Perform the iliopsoas muscle test F. Test for fluid wave

Correct Answer is ["C","D","E"]

Explanation

A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.

B. Shifting dullness: This is used to detect ascites, not appendicitis.

C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.

D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.

E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.

F. Fluid wave: This is used to assess for ascites, not appendicitis.

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A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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