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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. ST segment: Represents the period between ventricular depolarization and repolarization.
B. QRS complex: Represents ventricular depolarization.
C. T wave: Indicates ventricular repolarization, or relaxation, after the QRS complex.
D. P wave: Represents atrial depolarization.
Correct Answer is A
Explanation
A. Stress incontinence: This occurs when urine leaks due to increased abdominal pressure from activities like coughing or laughing, indicating a weakness in the pelvic floor muscles.
B. Obstructive incontinence: This is not a recognized type of urinary incontinence; it may refer to urinary obstruction issues, which are different from stress incontinence.
C. Overflow incontinence: This involves leakage due to an overfilled bladder and is not typically related to activities that increase abdominal pressure.
D. Urge incontinence: This involves a sudden, intense urge to urinate and may lead to involuntary leakage, but it is not specifically linked to coughing or laughing.
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