The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?
Dependent edema
Stasis ulceration
Arterial occlusion
Venous insufficiency
The Correct Answer is D
A. Dependent edema is characterized by swelling in the lower extremities due to gravity and may not always present with pigmentation changes.
B. Stasis ulceration involves ulcerative lesions typically occurring on the lower legs, often associated with venous insufficiency, but the pigmentation alone does not confirm ulceration.
C. Arterial occlusion typically presents with symptoms such as pain, pallor, and decreased pulses, not necessarily with warm skin and brown pigmentation.
D. Venous insufficiency is characterized by symptoms such as warm skin, brown pigmentation around the ankles (due to hemosiderin deposition from blood pooling), and swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.
B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.
C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.
D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.
E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.
Correct Answer is ["A","C","D"]
Explanation
A. Using low sodium seasoning can help reduce sodium intake, which is beneficial for hypertension management.
B. Increasing dairy products may not necessarily help with hypertension unless they are low-fat or fat-free options, but it’s not a primary strategy.
C. Foods like bananas and sweet potatoes are high in potassium, which helps counteract sodium's effects and supports healthy blood pressure.
D. Brisk walking for 30 minutes per day is a recommended exercise to help manage and prevent hypertension.
E. Consuming red wine is not recommended for hypertension; excessive alcohol intake can increase blood pressure.
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