The nurse is assessing a client's foot for signs of poor circulation. Which finding is indicative of poor circulation?
Capillary refill less than 2 seconds.
Warm and pink skin temperature.
Absence of hair on the toes and feet.
Presence of superficial veins.
The Correct Answer is C
Absence of hair on the toes and feet is indicative of poor circulation, as reduced blood flow to the extremities can lead to decreased hair growth.
Incorrect choices:
a. This choice is incorrect. Capillary refill less than 2 seconds is a normal finding and indicates good circulation.
b. This choice is incorrect. Warm and pink skin temperature is a normal finding and indicates adequate blood flow.
d. This choice is incorrect. The presence of superficial veins does not necessarily indicate poor circulation and can vary among individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
New shoes should be gradually broken in to prevent friction and blisters. Wearing new shoes for long periods of time can lead to discomfort and foot injuries.
Incorrect choices:
a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.
c. This choice is correct. Shaking out shoes before putting them on helps remove any debris that could cause discomfort or injury to the feet.
d. This choice is correct. Wearing moisture-wicking socks helps keep the feet dry and reduces the risk of moisture-related skin issues.
Correct Answer is B
Explanation
Adequate hydration is important for overall health and wound healing. Drinking plenty of water helps improve blood circulation and supports the body's healing processes.
Incorrect choices:
a. This choice is incorrect. Limiting fluid intake to prevent frequent urination can lead to dehydration and hinder wound healing.
c. This choice is incorrect. Consuming sugary beverages can negatively impact blood sugar levels and overall health, potentially hindering wound healing.
d. This choice is incorrect. Avoiding fluids before bedtime can increase the risk of dehydration and may not have a significant impact on nighttime urination. Staying hydrated is more important for wound healing.
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