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When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?

Posterior tibial

Femoral

Popliteal

Dorsalis pedis

Answer and Explanation

The Correct Answer is A

A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).

B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.

C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.

D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.

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Correct Answer is D

Explanation

A. Warming the stethoscope: Improves comfort but is not the first step.

B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.

C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.

D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.

A. "We need to determine the areas of tenderness before using percussion and palpation." B. "Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination." C. "Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation." D. "Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."

Correct Answer is C

Explanation

A. Determine areas of tenderness: While identifying tenderness is important, it is not the reason for auscultating first.

B. Allows the patient to relax: Relaxation is helpful but not the primary reason for the sequence.

C. Prevents distortion of bowel sounds: Percussion and palpation can stimulate or suppress bowel sounds, leading to inaccurate findings if performed before auscultation.

D. Prevents distortion of vascular sounds: Vascular sounds (bruits) are less likely to be affected by percussion or palpation.

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When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?

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Naxlex Comprehensive Predictor Exams

Which of the following is the first important step in helping the patient to relax for the complete abdominal examination?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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