Which of the following should the nurse perform to assess the arterial function of the lower extremities?
Assess for pretibial edema
Palpate pedal pulses bilaterally
Allen test
Homan sign
The Correct Answer is B
A. Pretibial edema: Edema is more indicative of venous function, not arterial function.
B. Palpate pedal pulses bilaterally: Palpation of the pedal pulses is essential to assess arterial circulation in the lower extremities.
C. Allen test: This assesses arterial blood flow to the hand, not the lower extremities.
D. Homan sign: Homan sign is used (though controversial) to assess for deep vein thrombosis (DVT), which is related to venous, not arterial, function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
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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