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NCLEX-RN · Question #786

An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the…

The correct answer is C. Decreased or absent pedal pulse in the left leg. (A) This statement describes a normal assessment finding of the lower extremities. (B) This assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal pulses reflect a problem caused by arterial insufficiency. (D) The leg that is…

Physiological Integrity: Physiological Adaptation

Question

An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:

Options

  • ABoth lower extremities warm to touch with 2_pedal pulses
  • BBoth lower extremities cyanotic when placed in a dependent position
  • CDecreased or absent pedal pulse in the left leg
  • DThe left leg warmer to touch than the right leg

How the community answered

(35 responses)
  • A
    6% (2)
  • B
    3% (1)
  • C
    77% (27)
  • D
    14% (5)

Explanation

(A) This statement describes a normal assessment finding of the lower extremities. (B) This assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal pulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased

Topics

#arteriosclerosis#peripheral vascular disease#arterial occlusion#pedal pulse

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