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 {"A":{"answers":"D"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"}}
Explanation
|
Assessment Technique |
1 |
2 |
3 |
4 |
|
Percussion |
✅ |
|||
|
Inspection |
✅ |
|||
|
Palpation |
✅ |
|||
|
Auscultation |
✅ |
Rationale:
Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
Correct Answer is D
Explanation
A. Subjective vertigo: Subjective vertigo refers to the sensation of being dizzy but without the room spinning. The patient described the sensation of the room spinning.
B. Tinnitus: Tinnitus refers to a ringing or buzzing sound in the ears, not the sensation of the room spinning.
C. Dizziness: Dizziness can refer to a range of symptoms, but the description of the room spinning suggests vertigo, not just dizziness.
D. Objective vertigo: Objective vertigo refers to the sensation that the room is spinning, which the patient describes. This is typically a vestibular issue involving the inner ear.
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