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
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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Related Questions
Correct Answer is C
Explanation
A. Atrophy of calf veins: Vein atrophy is not a normal aging process, although venous insufficiency is common due to other causes.
B. Narrowing of the inferior vena cava: This is not a typical age-related change.
C. Peripheral blood vessels growing more rigid: Arteriosclerosis (hardening of the arteries) is common with aging and leads to increased systolic blood pressure.
D. Hormonal changes causing vasodilation: Aging tends to cause vascular rigidity, not vasodilation, and is more likely to lead to hypertension.
Correct Answer is D
Explanation
A. Change in cilia: This is not the cause of dry, flaky cerumen. It would not be typical to assess hearing loss based on this observation alone.
B. Poor hygiene: Dry, flaky cerumen is not indicative of poor hygiene. Hygiene-related cerumen would more likely be wet and impacted.
C. Lesions from eczema: While eczema can affect the ear canal, the dry cerumen itself is more likely to be a normal characteristic for some individuals, particularly in people of Asian descent.
D. Normal finding: The presence of dry, flaky cerumen is normal in certain ethnic groups, including East Asians, and usually requires no follow-up.
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