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 C
Explanation
A. ST segment: Represents the period between ventricular depolarization and repolarization.
B. QRS complex: Represents ventricular depolarization.
C. T wave: Indicates ventricular repolarization, or relaxation, after the QRS complex.
D. P wave: Represents atrial depolarization.
Correct Answer is C
Explanation
A. Antidepressant: Antidepressants are not typically associated with a high risk of thrombophlebitis.
B. Antihypertensive: Antihypertensives generally do not increase the risk of thrombophlebitis.
C. Oral contraceptive: Oral contraceptives are known to increase the risk of thrombophlebitis due to their effect on blood clotting factors.
D. Antilipid agent: Antilipid agents, such as statins, do not commonly cause thrombophlebitis.
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