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.

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Correct Answer is A

Explanation

Choice A rationale

Rhonchi are low-pitched, continuous breath sounds that are often indicative of secretions in the large airways. These sounds may change or clear with coughing, so the nurse should have the patient cough and then auscultate again to reassess the presence of rhonchi.

Choice B rationale

Wheezes are high-pitched, musical sounds heard primarily during expiration. They are caused by narrowed airways, typically due to asthma or other obstructive lung conditions. Wheezes do not usually clear with coughing and require specific treatments to address airway constriction.

Choice C rationale

Crackles are discontinuous, popping sounds heard during inspiration and are associated with fluid in the alveoli, such as in conditions like pneumonia or heart failure. Crackles are not typically cleared by coughing and may persist despite the patient's efforts to clear their airways.

Choice D rationale

Stridor is a high-pitched, harsh sound heard during inspiration, often indicating upper airway obstruction. Stridor is a medical emergency and requires immediate intervention to secure the airway. It does not clear with coughing and signifies a critical respiratory issue. .

A. Atrial depolarization. B. Ventricular repolarization. C. Atrial repolarization. D. Ventricular depolarization.

Correct Answer is D

Explanation

Choice A rationale

Atrial depolarization is represented by the P wave on an ECG, not the QRS wave. This phase involves the electrical activation and contraction of the atria, which precedes ventricular contraction.

Choice B rationale

Ventricular repolarization is represented by the T wave, not the QRS complex. The T wave signifies the ventricles returning to their resting state.

Choice C rationale

Atrial repolarization generally occurs during the QRS complex, but it is not represented by it. The electrical activity of atrial repolarization is masked by the more significant ventricular depolarization signal of the QRS complex.

Choice D rationale

The QRS complex on an ECG represents ventricular depolarization, which is the electrical activation leading to the contraction of the ventricles. This is the correct answer as it accurately describes the QRS wave’s significance. .

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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

After auscultating which adventitious breath sound should the nurse have the patient cough and then auscultate again?

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

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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?