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When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should;

Ask the patient if he or she has experienced any unusual cramping or tingling in the arm.

Refer the individual for further evaluation.

Check for the presence of claudication.

Consider this finding as normal, and proceed with the peripheral vascular evaluation.

Answer and Explanation

The Correct Answer is D

A. Asking about cramping or tingling is unnecessary without other signs of compromised circulation.

B. Referral is not needed if perfusion is adequate.

C. Checking for claudication relates to arterial insufficiency, not absence of ulnar pulse.

D. Proceeding with the evaluation is appropriate if perfusion is adequate, as indicated by normal capillary refill and warm skin.

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Correct Answer is B

Explanation

A. Six: The abdomen is typically not divided into six sections.

B. Four: Most healthcare providers divide the abdomen into four quadrants: right upper, left upper, right lower, and left lower.

C. Eight: Eight sections are not commonly used for abdominal assessment.

D. Nine: Nine sections are used in more detailed assessments but are less common than the four-quadrant approach.

A. Liver enlargement B. Spleen enlargement C. Ovarian infection D. Kidney inflammation

Correct Answer is D

Explanation

A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.

B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.

C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.

D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.

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When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should;

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing the abdomen most health care providers divide the abdomen into how many sections?

Correct Answer is B

Explanation

A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

Correct Answer is D

Explanation

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