During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Venous insufficiency ulcers

Arterial insufficiency ulcers

Neuropathic ulcers

Deep vein thrombosis

Answer and Explanation

The Correct Answer is B

A. Venous insufficiency ulcers: Typically present with dark discoloration and edema, but not specifically with changes in color with elevation and dependency.

B. Arterial insufficiency ulcers: Pale feet when elevated and dark red when dependent are classic signs of arterial insufficiency. These changes in color are due to poor blood flow.

C. Neuropathic ulcers: Usually associated with diabetes and often occur on pressure points, not typically related to color changes with elevation.

D. Deep vein thrombosis: While DVT can cause swelling and pain, it does not usually present with color changes that are dependent on the position of the foot.

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Correct Answer is C

Explanation

C. Fifth intercostal space, left midclavicular line: The apical impulse, or point of maximal impulse (PMI), is typically palpated at the fifth intercostal space, left midclavicular line, where the apex of the heart is closest to the chest wall.

A. Fourth intercostal space, left sternal border: This location is not typically used for palpating the apical impulse; it is more relevant for auscultating heart sounds.

B. Second intercostal space, left sternal border: This location is used for auscultating the aortic and pulmonic valves.

D. Third intercostal space left axillary line: This is not a standard location for palpating the apical impulse.

A. Dextrocardia B. Hypertension C. Palpitations D. Left-sided heart failure

Correct Answer is D

Explanation

A. Dextrocardia is a condition where the heart is located on the right side of the chest and does not typically cause crackles in the lungs.

B. Hypertension may lead to cardiovascular complications but is not directly associated with crackles in the lungs.

C. Palpitations are related to sensations of irregular or rapid heartbeats, not crackles in the lungs.

D. Fine crackles in the lungs are often associated with left-sided heart failure due to fluid accumulation in the lungs from compromised cardiac function.

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During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

Correct Answer is C

Explanation

While conducting a physical examination of the cardiovascular system, the nurse hears fine crackles on auscultation of the lungs. This finding is most likely a manifestation of which problem?

Correct Answer is D

Explanation

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