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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
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. .
Correct Answer is A
Explanation
Choice A rationale
The Cover/Uncover test is used to assess the presence of strabismus or eye muscle weakness. During this test, one eye is covered while the other eye is observed for movement. The uncovered eye is then observed when the cover is removed. If there is a misalignment or weakness, the uncovered eye will move to re-establish focus, indicating a problem with eye muscle control.
Choice B rationale
Testing peripheral vision involves assessing the range of vision around the central focus point and is not specifically used to detect eye muscle weakness. It evaluates the function of the retina and optic nerve rather than the eye muscles. This test helps identify issues such as glaucoma or retinal detachment.
Choice C rationale
The Snellen chart test measures visual acuity, specifically how well a person can see at various distances. It is not designed to assess eye muscle strength or alignment. The test involves reading letters of different sizes from a chart placed at a standard distance.
Choice D rationale
The Weber test is an auditory test used to assess hearing loss by placing a vibrating tuning fork on the forehead or middle of the head. It helps determine whether hearing loss is conductive or sensorineural in nature. This test does not provide information about eye muscle function or alignment.
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