A nurse is caring for a client with venous stasis whose lower ...

[bobbie]

A nurse is caring for a client with venous stasis whose lower extremities have a brown pigmentation appearance. Which is this pigmentation appearance best attributed to?
 
  A) The necrosis of subcutaneous fat due to tissue hypoxia
  B) Breakdown of red blood cells in the congested tissues
  C) The inflammatory and immune response from congested circulation
  D) Skin atrophy caused by lack of circulation

Question 2

The nurse is assessing a client who is in the third trimester of pregnancy. Which finding would require immediate intervention by the nurse?
 
  A) Blood pressure of 142/92 mmHg
  B) Pulse of 92 beats per minute
  C) Respiratory rate of 24 per minute
  D) Weight gain of 16 oz per week

[CAPTAINAMERICA]

Answer to Question 1

Answer: B

Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with PVD, they are not responsible for the cause of brown pigmentation to the skin.

Answer to Question 2

Answer: A

A pregnant client's blood pressure should not be greater than 140/90 mmHg, and if it is elevated, it could be a sign of gestational hypertension or preeclampsia. The pregnant client's heart and respiratory rates will increase slightly as a result of an increased circulatory volume and a decrease in intrathoracic space. Weight gain should average a pound per week in the second and third trimesters.