The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

Blood is returning from the client's toe more slowly than normal.

There is a disruption in osmotic pressure in the client's extremities.

There is a blockage or infection in the client's lymphatic system.

The client's toe is receiving an inadequate supply of blood.

Answer and Explanation

The Correct Answer is D

Choice A reason: Slow venous return causes edema, not deep, painful wounds. This venous issue lacks the arterial insufficiency link to tissue necrosis, misaligning with the circular ulcer’s ischemic profile, which requires oxygen delivery, not just drainage, here fully.

Choice B reason: Osmotic pressure disruption affects fluid balance, not localized wounds. This systemic issue doesn’t explain a toe ulcer’s depth and pain, missing the vascular supply deficit driving tissue breakdown in this specific extremity finding entirely and clearly.

Choice C reason: Lymphatic blockage or infection causes swelling or lymphangitis, not deep, circular wounds. This lacks the ischemic etiology of toe ulcers, which stem from arterial insufficiency, not lymphatic dysfunction, distinguishing it from the observed pathology here fully.

Choice D reason: Inadequate arterial blood supply, as in peripheral artery disease, causes deep, painful toe ulcers due to tissue ischemia. Poor oxygen delivery leads to necrosis, matching the wound’s characteristics, making this the most likely etiology accurately and precisely.

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Correct Answer is C

Explanation

Choice A reason: Bell palsy affects cranial nerve VII, causing facial paralysis, not smell, which is cranial nerve I’s domain. A week of anosmia doesn’t align with this motor nerve issue, ruling it out as a cause of olfactory dysfunction here.

Choice B reason: Leukoplakia involves oral white patches, unrelated to smell, which cranial nerve I governs. It’s a mucosal condition, not nasal, missing the anatomical link to olfactory loss reported by the client over the past week entirely.

Choice C reason: Nasal polyps, benign growths in nasal passages, obstruct airflow, impairing cranial nerve I’s smell function. A week-long decrease fits this common cause, making it the priority to assess for physical blockage or inflammation in the nasal cavity accurately.

Choice D reason: Cranial nerve V (trigeminal) handles facial sensation, not smell, which is cranial nerve I’s role. A lesion here causes pain or numbness, not anosmia, excluding it as a relevant condition for this olfactory complaint specifically and fully.

A. At the base of the client's skull B. At the angle of the client's jaw C. Behind the tip of the client's chin D. On the area behind the client's ears

Correct Answer is C

Explanation

Choice A reason: The base of the skull houses occipital nodes, not submental ones, which drain the lower face. Palpating here misses the submental region, irrelevant to sinus or throat infections, misaligning with lymphatic drainage patterns in this case.

Choice B reason: The angle of the jaw targets submandibular nodes, not submental, which sit midline under the chin. This area drains the jaw and mouth but not specifically the submental zone tied to the client’s symptoms directly.

Choice C reason: Behind the chin tip is the submental node location, draining the lower lip, tongue, and anterior mouth. With sinus and throat infection, this spot is key for detecting lymphadenopathy linked to the client’s fever and elevated WBC.

Choice D reason: Behind the ears assesses postauricular nodes, unrelated to submental drainage of the chin and mouth. This misses the infection’s likely lymphatic response, focusing on a region not typically involved in sinus or throat pathology here.

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The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

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Naxlex Comprehensive Predictor Exams

The client reports a decreased sense of smell for the past week. Which condition would the nurse assess for?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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