The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?

Bilateral edema of the legs

Bilateral hyperemia of the legs

Bilateral full superficial leg veins

Left leg cool, cyanotic skin

Answer and Explanation

The Correct Answer is D

A. Bilateral edema of the legs: While significant, bilateral edema is a common symptom of venous insufficiency and generally less urgent compared to signs of compromised circulation.
B. Bilateral hyperaemia of the legs: Hyperaemia (increased blood flow) is less concerning compared to cyanosis and coolness, which suggest severe impairment.
C. Bilateral full superficial leg veins: Prominent veins are typical in venous insufficiency and do not indicate an immediate threat.
D. Left leg cool, cyanotic skin: This is correct. Cool, cyanotic skin indicates poor perfusion and potential arterial involvement or severe venous congestion, requiring urgent assessment to prevent tissue damage.

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Correct Answer is ["A","C","D"]

Explanation

A. Hemorrhage: This is correct. Fractures, especially in large bones like the femur or pelvis, can cause significant bleeding, either internally or externally.
B. Elevated blood urea nitrogen and creatinine: This is not directly related to fractures. These values indicate kidney function and are not typical complications of fractures.
C. Infection: This is correct. Open fractures and surgical interventions for fractures can lead to infections, including osteomyelitis.
D. Fat embolism syndrome: This is correct. Fat embolism syndrome can occur when fat globules from bone marrow enter the bloodstream, typically after fractures of long bones or the pelvis, and cause serious complications.
E. Elevated serum potassium: This is not typically a direct complication of fractures. Elevated potassium can occur due to other factors, such as crush injuries or tissue necrosis, but is not a common concern with simple fractures.

A. Monitor blood glucose levels. B. Lifestyle modifications and medication adherence will not prevent blindness, C. Lifestyle modifications can prevent strokes. D. End organ damage is inevitable because of microvascular changes that occur. E. Take medications as ordered.

Correct Answer is ["A","C","E"]

Explanation

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

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The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?

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The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?