The nurse is assessing the peripheral vascular system of a client.
On inspection, the client's legs are cold and the client reports she no longer has hair growing on the legs.
What does the nurse suspect the client is experiencing?

DVT.

Venous insufficiency.

Varicosities.

Arterial insufficiency.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Deep vein thrombosis (DVT) involves a blood clot in a deep vein, usually in the legs. Symptoms include swelling, pain, and redness, but not typically cold legs or hair loss, making it unlikely in this scenario.

Choice B rationale

Venous insufficiency occurs when veins struggle to send blood back to the heart, leading to varicose veins, swelling, and skin changes. While it can cause leg discomfort, it does not typically result in cold legs or hair loss.

Choice C rationale

Varicosities are enlarged, twisted veins caused by increased pressure. They can cause pain and swelling but not cold legs or hair loss, making them an unlikely cause of the described symptoms.

Choice D rationale

Arterial insufficiency, caused by poor blood flow due to narrowed arteries, results in symptoms such as cold legs, hair loss, pain, and weakened pulses. The description of cold legs and hair loss fits arterial insufficiency, making it the most likely diagnosis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and peripheral vision loss. It does not typically cause central vision loss or the presence of a large black spot in the center of vision.

Choice B rationale

A detached retina often causes the sudden appearance of floaters or flashes of light, and a shadow or curtain effect in the peripheral vision. It does not typically present as a black spot in the center of vision.

Choice C rationale

Macular degeneration is an age-related condition that affects the central part of the retina (macula). It leads to central vision loss, which can manifest as a black or dark spot in the center of vision. This condition progressively impairs the ability to see fine details and perform activities like reading or recognizing faces.

Choice D rationale

Diabetic retinopathy is a complication of diabetes that affects the blood vessels in the retina. It can cause vision changes, such as floaters or blurred vision, but it does not typically present as a large black spot in the center of vision.

A. Myopia. B. Normal vision. C. Presbyopia. D. Hyperopia.

Correct Answer is D

Explanation

Choice A rationale

Myopia, or nearsightedness, is when distant objects appear blurry because light rays focus in front of the retina. A Snellen exam result of 20/50 means the client can see at 20 feet what someone with normal vision sees at 50 feet, indicating reduced distance vision. However, this condition does not correlate with the ability to read the Rosenbaum chart, which is for near vision, thus excluding myopia.

Choice B rationale

Normal vision is not indicated by a Snellen exam result of 20/50, as this signifies a visual impairment where the client sees at 20 feet what a person with normal vision sees at 50 feet. Normal vision would be indicated by 20/20 on the Snellen exam.

Choice C rationale

Presbyopia is the age-related loss of the eye's ability to focus on near objects, typically noticeable in people over 40. Although this condition involves difficulty reading at close range, the client's uncorrected Snellen exam result of 20/50 pertains to distance vision, which differentiates presbyopia from the given scenario.

Choice D rationale

Hyperopia, or farsightedness, is when close objects appear blurry because light rays focus behind the retina. The client's ability to read the Rosenbaum chart without difficulty indicates good near vision, while the Snellen exam result of 20/50 reflects reduced distance vision, thus supporting the diagnosis of hyperopia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assessing the peripheral vascular system of a client.On inspection, the client's legs are cold and the client reports she no longer has hair growing on the legs.What does the nurse suspect the client is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is complaining of a black large spot in the center of their vision.The nurse determines this manifestation as central vision loss.Which eye disorder below is consistent with this symptom?

Correct Answer is C

Explanation

The nurse is reviewing a client's medical record with a documented Snellen exam of 20/50, uncorrected.Patient could read the Rosenbaum chart without difficulty.Based on this information, the client has:

Correct Answer is D

Explanation

During cardiac examination of a client, the nurse was demonstrating to the student nurse where to locate the Angle of Louis to listen to the Aortic and Pulmonic area on the chest.The nurse should locate the Angle of Louis at the level of what rib?

A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?

In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important.The reason for this is that the upper quadrant is:

A student nurse is reviewing for an upcoming examination and recognizes in the ECG readings that the QRS wave represents which of the following?

While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

A student nurse is reviewing for an upcoming final examination and recognizes in the ECG readings that the T wave represents which of the following?

A nurse expects to hear which percussion sounds over muscles and tissues?

The nurse is assessing the chest shape of a patient.Which chest configuration describes a sunken in sternum and costal cartilage?

The nurse is assessing the peripheral vascular system of a client.
On inspection, the client's legs are cold and the client reports she no longer has hair growing on the legs.
What does the nurse suspect the client is experiencing?