A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?
Pallor of the toes and cyanosis of the nail beds
Thin, shiny, atrophic skin
Brownish discoloration to the skin of the lower leg
Unilateral cool foot
The Correct Answer is C
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Lightly palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
B. Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Lightly palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
C. Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Lightly palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
D. Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Lightly palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
Correct Answer is A
Explanation
A. A vision of 20/30 means that the patient can read at 20 feet what a person with normal vision can read at 30 feet, indicating mild visual impairment.
B. This reverses the explanation of 20/30 vision and is incorrect.
C. This option incorrectly describes the Snellen chart results, which measure clarity of vision at specific distances, not entire chart reading ability.
D. This option confuses visual acuity for each eye; Snellen scores do not indicate different distances for each eye.
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